A 45-year-old woman arrives in the emergency department after ingesting an unknown quantity of pain medication and alcohol. Her friend found her unconscious in her apartment. She is cur-rently unresponsive to verbal stimuli
Vital signs reveal: pulse 56 beats/min; respiratory rate 10 breaths/min and shallow; and BP 90/50 mm Hg. Her ABG on room air reveals: pH 7.21; PaCO2 64 mm Hg; PaO2 52 mm Hg, HCO3? 24 mEq/L. The appropriate treatment for this patient includes which of the following?
1. Naloxone hydrochloride (Narcan)
2. Nasal cannula 4 L/min
3. Nonrebreather mask
4. Intubation and ventilatory support
a. 2 only
b. 4 only
c. 1 and 3 only
d. 1 and 4 only
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