You are called to the scene of a local night club for a 21-year-old female patient who is bradycardic and in respiratory arrest.The patient's airway is patent and the chest easily rises with bag-valve-mask ventilation.The patient's friends state the patient had only one or two drinks when she suddenly complained of dizziness and "seeing things." Her friends state that she then passed out,started twitching like she was seizing,and then stopped.Her friends adamantly state that she does not do drugs.What situation do you suspect?

Question

Quizplus · Accepted Answer

The patient's symptoms are consistent with a GHB overdose, also known as the "date rape drug." GHB can cause respiratory depression and bradycardia, as well as seizures and loss of consciousness. The patient's friends may not be aware of her GHB use, as it is often slipped into drinks surreptitiously. It is important to consider this possibility and administer appropriate treatment, such as oxygen and naloxone.

You Are Called to the Scene of a Local Night