A teenager who is brought to the emergency department by the parents is reported to have taken barbiturates with alcohol. What will be the greatest concern for this patient?
1. Respiratory depression
2. Seizure activity
3. Signs of withdrawal
4. Hallucinations
1
Rationale 1: Barbiturates are central nervous system depressants. Barbiturates and alcohol are a lethal combination. The patient who has ingested both is at risk for varying degrees of sedation, up to coma and death.
Rationale 2: Seizure activity is not the greatest risk for this patient.
Rationale 3: Signs of withdrawal are not the greatest risk for this patient.
Rationale 4: Hallucinations are not the greatest risk for this patient.
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