What should you avoid doing when caring for an unresponsive intravenous drug user?

• A. Removing their wallet or possessions
• B. Defer vascular access until in the emergency department
• C. Ventilating at a rate of 24 breaths/min
• D. Establishing an IV line of normal saline

Answer: (A)

When caring for an unresponsive intravenous drug user, it is essential to maintain their dignity and respect their personal belongings. Removing their wallet or possessions can not only be seen as a violation of their privacy, but it may also escalate the situation, especially if there are valuable items involved that the patient may have concerns about. In emergency situations, establishing rapport and trust can be important, and unnecessary handling of personal items can create distress for both the patient and bystanders.

In contrast, other options might be seen in the context of managing the patient’s medical needs. Delaying vascular access until in the emergency department might put the patient at risk for not receiving timely treatment, particularly if they require IV medications. Ventilating at a rate of 24 breaths per minute can lead to hyperventilation, which is not an appropriate ventilation rate for adults. Establishing an IV line of normal saline might be critical if the patient is hypovolemic or requires fluid resuscitation, thus making that option more aligned with immediate medical needs.