A confused and lethargic 24-year-old male has intentionally overdosed on a narcotic medication. His vitals signs are: pulse 36, respirations 8, blood pressure 50/20, and SpO₂ 88% with 15 liters per minute of oxygen. The greatest danger to this patient's well-being is:

Question

Quizplus · Accepted Answer

The greatest danger to the patient's well-being is decreased cellular perfusion due to the low blood pressure and respiratory rate. This can lead to hypoxia and shock, potentially causing damage to vital organs such as the brain and heart. Immediate interventions should focus on improving the patient's perfusion through measures such as administering fluids and oxygen, and initiating medication to support blood pressure and respiratory function. Altered mental status, increased sympathetic nervous system stimulation, and left ventricular heart failure may be concerns for the patient, but their underlying cause and management are secondary to addressing the immediate threat of decreased cellular perfusion.

A Confused and Lethargic 24-Year-Old Male Has Intentionally Overdosed on a Narcotic