*NURSING > CASE STUDY > Narcotics or Sepsis? Pharmacology Clinical Reasoning Case Study- NURSING RN 101 (All)

Narcotics or Sepsis? Pharmacology Clinical Reasoning Case Study- NURSING RN 101

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History of Present Problem: Brian Sanders is a 34-year-old male who was evaluated in the emergency department (ED) earlier this morning for an abscess that was drained from his left thigh. He was giv... en two tablets of hydrocodone-acetaminophen 5-325 mg and sent home with a prescription for #10 hydrocodone-acetaminophen 5-325 mg tablets to be taken PRN for pain every 4 hours. Eight hours after being discharged from the ED, his mother became concerned and called 911 because he was more lethargic and she had difficulty arousing him. The paramedics who brought him to the ED report that he took his scheduled alprazolam 0.5 mg PO after returning home from the ED. He arouses and opens his eyes to loud verbal commands, but falls back to sleep several seconds later. His last set of vital signs per paramedics were: • P: 50 regular • R:16 regular • BP: 92/50-MAP 64 • O2 sat: 98% on room air Personal/Social History: Brian is currently unemployed and lives with his parents. He has struggled with bipolar depression, anxiety, schizoaffective disorder and ETOH abuse in the past but denies current ETOH use. Allergies: NKDA CONTINUED........ [Show More]

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