1. The patient is a 31-year former(a) Caucasian male who has been admitted several(prenominal) times for cyclical vomiting syndrome. The patient was diagnosed when he was a child, he was in remission from 15 years old to the middle 20s when the line started again. The patient is on disability secondary coil to cyclic vomiting syndrome. Last year, the patient was hospitalized more than 4 months lend for the problem. He is from Atlanta. He is coming to visit his auntie come with with his mom and his sister. Patient states he has to go to University infirmary requisite Room for cyclic vomiting syndrome on sunshine 7/15/12 at 1pm. 2. Medical diagnosing: Pain, opinion Signs and symptoms: * Subjective: Patient complaint of pain, nausea, headache, fatigue * Objective: flushed, vomiting, passing play of appetency 3. EKG tracing Chest AP only takeout EGD, colonoscopy Lab shew : * PTT- Prothrombin time * PT/INR 4. The nanny-goat wi ll provide take by offering center and basins at bedside. Offer an particular(a) pillow for the abdominal pain, and provide sentry go by conference items near patient when patient involve to vomit. 5. Dronabinol 2.
5 mg capsulate (Marinol) each 12 mo orally Mirtazapine 30 mg (Remeron soltab) at bedtime orally Pantoprazole 40 mg vial (Protonix IV) Polyethylene glycol 17 gm powder (Miralax) every 8 hours orally Venlafaxine 75 mg capsule (Effexor XR 75 mg) 150 mg orally at once daily Hydromorphone 2mg vial (Dilaudid) every 4 hours as needed lorazepam 2mg vial (Ativan) 1mg intravenously every 6 hou rs as needed Ondansetran 4mg /2ml (zophran)! 4mg intravenously every 4hrs as needed 6. Patient Care: * Vital signs monitored; smooth-spoken and Electrolytes equilibrium maintained and prescribed medications administered to relieve headache, nausea, vomiting * A appease stress-free environment is provided * Advise patient to avoid alcohol and products containing acetylsalicylic acid and NSAID and food that may cause in GI irritation. * Instruct patient to take...If you want to get a full essay, order it on our website: OrderCustomPaper.com
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