You are presented with a 42-year-old male who is unconscious with snoring respirations after a heroin overdose. HR = 64, BP = 98/50, RR = 6 and shallow, SaO₂ = 91%. Which of the following is the most appropriate initial treatment?

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The patient's symptoms suggest severe respiratory depression secondary to opiate overdose. The most appropriate initial treatment is to administer naloxone, a specific antidote to opioids, to reverse respiratory depression and restore breathing. Intubation and ventilation may be necessary if the patient does not respond to naloxone or if there is further respiratory compromise. IV access should be established to administer the naloxone. Fluid bolus and BLS airway management are not the most appropriate initial treatments for this patient.

You Are Presented with a 42-Year-Old Male Who Is Unconscious