She's a COPDer who came in from her shelter lethargic, wheezing and short of breath. She couldn't stay awake enough to consistently breathe in the nebs we gave her, was satting only about 83 on 3 liters. When her arterial blood gas came back with a CO2 of 77, an O2 of 47, and a ph of 7.28, the decision was made to give her a little narcan to reverse the effects of the methadone to get her respirations up from about 6 to something useful. And we put her on bipap.
But before the respiratory therapist fitted the mask to her face, she informed me that if I ever gave her narcan again, she would "bust up my fucking face." Nice.