A 23-year-old man with a history of schizophrenia is brought to the emergency department following a suicide attempt. He swallowed several of his father's pills after an intense argument with his parents a few hours ago. On examination, the patient responds to painful stimuli but is somnolent. Respiratory rate is 6/min and after naloxone bolus infusion increases to 14/min. Lungs are clear to auscultation. Which of the following additional findings were most likely present in this patient on initial assessment?

Question

A 23-year-old man with a history of schizophrenia is brought to the emergency department following a suicide attempt.  He swallowed several of his father's pills after an intense argument with his parents a few hours ago.  On examination, the patient responds to painful stimuli but is somnolent.  Respiratory rate is 6/min and after naloxone bolus infusion increases to 14/min.  Lungs are clear to auscultation.  Which of the following additional findings were most likely present in this patient on initial assessment?

Quizplus · Accepted Answer

Eductional Objective: Opioid intoxication presents with miosis, depressed mental status, decreased respiratory rate, decreased bowel sounds, and hypotension.  Of these, decreased respiratory rate is the best predictor of intoxication and is also a frequent cause of mortality

A 23-Year-Old Man with a History of Schizophrenia Is Brought