A five-month-old boy is brought to a regional emergency department at 2 am because he cannot be roused. His re…

Question

A five-month-old boy is brought to a regional emergency department at 2 am because he cannot be roused. His respiratory rate is 12 per minute and his pupils are 1 mm. He is given naloxone and wakes within two minutes. His mother says he must have got hold of her methadone syrup, which is kept in a kitchen cupboard. He is not yet rolling over, sitting or crawling, and there are no other children in the house. Which one of the following is the most appropriate next step?

Accepted Answer

Admit him and make a report to child protection

Answer

Admit him overnight and arrange a child health nurse visit

Answer

Admit him overnight and counsel his mother on safe storage

Answer

Ask police to attend the emergency department now

Answer

Refer his mother to the opioid treatment service

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