Your Patient Is a 48-Year-Old Female Who Is Unconscious with Snoring

Your patient is a 48-year-old female who is unconscious with snoring respirations after ingesting an unknown substance. You note cold, peripherally cyanotic skin and a weak, rapid pulse. Her pupils are equal and reactive but constricted. She has no unusual odors, and her blood glucose level is 80 mg/dl. HR = 74, BP = 100/68, RR = 4, SaO₂ = 91%. Which of the following is appropriate?

A) Intubate, ventilate using supplemental oxygen, IV, 1 mEq/kg sodium bicarbonate
B) Intubate, ventilate using supplemental oxygen, IV, 2 mg naloxone, 100 mg thiamine, 25 gm dextrose
C) Assist ventilations using supplemental oxygen, IV, 2 mg naloxone
D) Assist ventilations using supplemental oxygen, IV, 2 mg naloxone, 100 mg thiamine, 25 gm dextrose