This week’s edition of the Question of the Week is from Step 2 CK. See if you can answer the question and then watch the video to learn the correct answer as well as the rationales for each option.
Step 2 CK
A 22-year-old university student comes into the university medical center reporting nausea and three episodes of vomiting. He has a history of migraine headaches medicated with timolol, and has been experiencing frequent headaches over the past several months for which he has been taking increasing doses of various pain medications that he borrows from others in his dormitory. He has not abdominal pain or changes in bowel movements, but does have ringing in his ears. His temperature is 102.2°F (39°C), blood pressure is 110/60 mm Hg, pulse is 113/min, and respiratory rate is 30/min. Shortly after admission, he becomes disoriented and confused and then experiences a seizure in the examination room. An arterial blood gas shows pH 7.40, pCO2 20 mmHg, PO2 112, mmHg, HCO3 12 mEq/L
Which of the following is the most appropriate treatment?
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