In a 51-year-old woman with depression, alcohol use disorder, occasional cannabis use, who is drowsy, has dysarthria, and a smell of alcohol with stable vital signs, what is the most appropriate immediate next step in management?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board

Educational purpose only • Exercise caution as content is pending human review

Article Review Status

Submitted

Under Review

Approved

Last updated: February 8, 2026 • View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Related Questions

What is the next step in managing a 35-year-old female with mood swings, irritability, and social withdrawal, using alcohol and marijuana, with a history of depression and anxiety?

What are the harmful impacts of marijuana on psychiatric medications, such as lithium, Selective Serotonin Reuptake Inhibitors (SSRIs) (e.g., fluoxetine), and antipsychotics (e.g., olanzapine)?

Can smoking marijuana cause depressive symptoms?

What is the likely diagnosis and management plan for a patient who consumes alcohol weekly, uses cannabis daily, and presents with hopelessness, anxiety, impaired concentration and punctuality, seeking to improve routine and self‑esteem?

How should hypermagnesemia be managed according to serum magnesium level, symptoms (muscle weakness, hypotension, bradycardia, respiratory depression, ECG changes), and renal function, including calcium administration, diuretics, dialysis, and bowel irrigation?

Write a 4500‑character lay‑public article on the etiology, prevalence, quality‑of‑life impact, complications, and associated conditions of winter and early‑spring xerosis, including lifestyle measures, over‑the‑counter (OTC) and prescription (Rx) treatment options, their efficacy, and combination strategies to promote awareness and self‑care.

How should I diagnose and manage an acute influenza A infection in an otherwise healthy adult or child?

In a septic patient with an isolated prolonged international normalized ratio due to presumed vitamin K deficiency, what is the recommended vitamin K dosing and route, and what additional therapy is indicated if the INR does not correct?

What is the appropriate evaluation and management for a patient with low diastolic blood pressure?

In a patient with epigastric pain that worsens after meals and an endoscopically confirmed duodenal ulcer, what is the next step in management?

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.