A 45-Year-Old Woman Arrives in the Emergency Department After Ingesting

Multiple Choice

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 currently 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; PₐCO₂ 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