Cocaine Toxicity Patient Profile N.C. is a 34-year-old man who was admitted to the emergency department with chest pain tachycardia, dizziness, nausea, and severe migraine-like headache. Subjective Data . • He thinks he is having a heart attack. Admits he was at a party earlier in the evening drinking alcohol, smoking pot, and snorting cocaine. States he became irritable and restless. States he has experienced an increased need for cocaine in the past few months. Objective Data . . CASE STUDY ♥ . Appears extremely nervous and irritable Appears pale and diaphoretic Has tremors BP 210/110, HR 100 bpm, RR 30 5. Priority Decision: What are the priority nursing interventions?
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- CASE STUDY Cocaine Toxicity Patient Profile N.C. is a 34-year-old man who was admitted to the emergency department with chest pain, tachycardia, dizziness, nausea, and severe migraine-like headache. Subjective Data • He thinks he is having a heart attack. • Admits he was at a party earlier in the evening drinking alcohol, smoking pot, and snorting cocaine. • States he became irritable and restless. • States he has experienced an increased need for cocaine in the past few months. Objective Data • Appears extremely nervous and iritable • Appears pale and diaphoretic • Has tremors • BP 210/110, HR 100 bpm, RR 30 2. How should questions related to these areas be addressed?CASE STUDY Cocaine Toxicity Patient Profile N.C. is a 34-year-old man who was admitted to the emergency department with chest pain, tachycardia, dizziness, nausea, and severe migraine-like headache. Subjective Data • He thinks he is having a heart attack. - Admits he was at a party earlier in the evening drinking alcohol, smoking pot, and snorting cocaine. States he became irritable and restless. States he has experienced an increased need for cocaine in the past few months. Objective Data Appears extremely nervous and irritable · Appears pale and diaphoretic •Has tremors · BP 210/110, HR 100 bpm, RR 30 3. What other clues should the nurse be alert for in assessing N.C.'s drug use?CASE STUDY Cocaine Toxicity Patient Profile N.C. is a 34-year-old man who was admitted to the emergency department with chest pain tachycardia, dizziness, nausea, and severe migraine-like headache. Subjective Data • He thinks he is having a heart attack. Admits he was at a party earlier in the evening drinking alcohol, smoking pot, and snorting cocaine. States he became irritable and restless. States he has experienced an increased need for cocaine in the past few months. Objective Data • Appears extremely nervous and irritable • Appears pale and diaphoretic Has tremors • BP 210/110, HR 100 bpm, RR 30 5. Priority Decision: What are the priority nursing interventions?
- Case Study (Drugs of Abuse) Suzanne has come by the free “drop-in” counseling clinic where you work to get some information and advice. Suzanne is a 22-year-old single woman who has been living with her boyfriend Jack in Manhattan’s lower east side for the last four years. She and Jack have been heroin addicts for as many years. When Suzanne was 10 years old, her father, whom she says was a very heavy drinker, left her mom and the kids and never came back. At 14 she started drinking and smoking marijuana. At 16 she had dropped out of high school and at 18 she moved in with Jack. He introduced her to heroin. She reports using about a 1/2 gram of heroin per day just to be able to function and feel comfortable. In order to pay for the heroin and pay the rent on their apartment, Jack doesn’t work, instead, she works the streets at night. She usually drinks four or five beers each night before going out to work. If she can’t score enough heroin, she will try to score either some Valium or…Case Study (Drugs of Abuse) Suzanne has come by the free “drop-in” counseling clinic where you work to get some information and advice. Suzanne is a 22-year-old single woman who has been living with her boyfriend Jack in Manhattan’s lower east side for the last four years. She and Jack have been heroin addicts for as many years. When Suzanne was 10 years old, her father, whom she says was a very heavy drinker, left her mom and the kids and never came back. At 14 she started drinking and smoking marijuana. At 16 she had dropped out of high school and at 18 she moved in with Jack. He introduced her to heroin. She reports using about a 1/2 gram of heroin per day just to be able to function and feel comfortable. In order to pay for the heroin and pay the rent on their apartment, Jack doesn’t work, instead, she works the streets at night. She usually drinks four or five beers each night before going out to work. If she can’t score enough heroin, she will try to score either some Valium or…Patient C., 32 y/o, complains of excessive weight, shortness of breath, defective memory, performance decrement, feeling cold, emotional retardation. It is known from the case history that the patient is suffering from primary hypothyroidism. Objectively: the skin is dry, waxlike, swollen, periosteal reflexes are lowered, body mass index: 33.5 kg/cubic meter, TSH (thyroid-stimulating hormone) – 25 µU/dL (norm 0.5 -5.0). Obesity is homogenous. Arterial pressure: 150/100 mm column ob mercury. What type of obesity can be suspected?A. Endocrine hypothyroidB. Endocrine accompanying dysfunctions of hypothalamopituitary systemC. Alimentary constitutionalD. HypothalamicE. Androidal with the developed symptoms of metabolic syndrome
- Discharge planning for a patient with hyponatremia Portential prognosis: Patient teaching: Potential follow up care:Hts. There are a total of 20 answers, 1. A child has come into the clinic with a new diagnosis of otitis media. You prepare to administer a prescribed medication. Order: Ceclor 75 mg PO Q8h Child's weight: 10 kg Child's drug dosage: 20-40 mg/kg/day Available: FER dan teri 11 WEARA Tarek Krk North by MEXPRE 150 ml. (Mar M-5057 CECLOR" CEFACLOR ORAL SUSPENSION, USP FOR 125 mg per 5 mL CAUTION -Federal USA law prehitats dispensing without priccnpton a. How many mg would the child receive per day? 225 mg b. I ow many mL would the child receive according the prescription per dose? 75mg x 3 doses daily = 1.8ML 125mg c. Is the prescribed dose within the safe range? Show how you determined your answer. 20mg x 10kg = 200mg/kg/day wome formel kaldas been treated for thyroid cancer. Radiation therapy was done to destroy the66 y.o male was admitted from Elwood health center to OFL LSU the clo of changed in mental status with combative behavior, agitated episodes, and tried to break window with his cane. Unable to be redirected, attempted to elope, pushing alarm door to stairs. Neurocognitive disorder, unspecified dementia, unsteady gait, unspecified depression, patient is alert to self only and confused. Pt on cardiac diet, 1+ edema with dry skin. Incontinent, high fall risks restless, behavior disturbance, poor insight/ judgment, pain in legs Base on the information please do these Primary problem #1( as evidence by) Goal for this problem specific interventions: Assessment evaluation scale used with score Г Primary problem 2 (as evidence by) Goal for this problem 2specific interventions Assessment evaluation scale use with score
- this is a case study. Provide stress management and treatment recommendations for the clientLoss of interest in life related to depression as weight loss, low energy and , trouble staying focused 1. Make short and long-term goals for this diagnosis. Risk for self directed violence related to major depressive disorder as evidenced by verbalization of the patient, extreme guilt and thoughts of suicide Make short and long-term goals for this diagnosis.R9. N.H. is a 76-year-old male admitted to the hospital through the emergency department. He fell outside his home. It appears that he may have sustained a fracture to his left hip. He has a history of type 2 diabetes mellitus and has a 40 pack-year smoking history that is now complicated by chronic obstructive pulmonary disease. Data Collected (use only those that apply) Complains of excruciating pain and tenderness in left hip Pain not relieved with morphine BP 166/94 mmHg Diaphoretic and pale skin Respiratory rate 36; crackles, expiratory wheeze X-ray of left hip reveals extracapsular fracture Hematocrit 30%; hemoglobin 15g/dL; WBC 15,000/uL Do ASAP.