(M2.PY.14.22)
Mr. Z is a 62-year-old male with poorly controlled diabetes mellitus, chronic back pain, and a history of prescription drug abuse. He was admitted overnight following an emergency appendectomy. When you round on Mr. Z in the morning, he complains of severe abdominal pain in his RLQ, severe back pain from the hospital bed, nausea, and constipation. The team decides to increase the dose and frequency of his hydromorphone and docusate is added. Later that afternoon, the rapid response team is called to Mr. Z's room because he was found unresponsive in bed. Examination of his eyes is shown in Figure A. His vitals are as follows: T 38.1 C, BP 132/86 mm Hg, HR 71/min, RR 6/min, SpO2 85% on room air. Fingerstick glucose is 137 mg/dl. Following administration of oxygen via a mask or nasal cannula, what is the most appropriate next step in management?
QID:
105632