مريض بعد جرعة زائدة من الأفيونات، تنفسه ٦ ونعسان، وأُعطي نالوكسون فتحسن. لماذا يحتاج مراقبة لساعات بعد التحسن؟

After an opioid overdose with RR 6 and drowsiness, a client improves with naloxone. Why does he need hours of monitoring afterwards?

1. Naloxone wears off first, so depression may recur
2. Naloxone itself causes severe sleepiness after an hour
3. He will need extra opioid doses for pain
4. Naloxone dangerously raises blood glucose

Answer: A) Naloxone wears off first, so depression may recur. Naloxone acts for about 30–90 minutes, while some opioids last longer, so respiratory depression can recur. Breathing and consciousness are monitored, and repeat doses or an infusion may be needed. It may precipitate acute withdrawal in dependent users.