Which sign is typically NOT associated with opiate toxicity?

Opiate toxicity is characterized by a specific set of signs and symptoms, primarily due to the effects of opiates on the central nervous system and various bodily functions. One of the hallmark signs of opiate toxicity is miosis, which refers to pinpoint pupils. This occurs due to the agonistic effect of opiates on the mu-opioid receptors, leading to constriction of the pupils.

In cases of opiate overdose, it is common to observe other signs such as respiratory depression, bradycardia (slowed heart rate), and often hypothermia (lowered body temperature). Hypothermia can occur as a consequence of reduced metabolic activity and poor thermoregulation associated with central nervous system depression.

In contrast, hypertension is typically NOT associated with opiate toxicity. While some substances can cause elevated blood pressure, opiates usually lead to lower blood pressure or bradycardia, as they typically produce a sedative effect rather than a stimulating response in the cardiovascular system.

Thus, the presence of hypertension in a patient with suspected opiate toxicity would suggest another cause or condition, making it the sign that is not commonly linked to opiate toxicity.