Nursing Grand

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 difficulty started again. The patient is on disability secondary coil to cyclic vomiting syndrome. Last year, the patient was hospitalized more than 4 months append for the problem. He is from Atlanta. He is coming to visit his auntie go with with his mom and his sister. Patient states he has to go to University infirmary indispensability Room for cyclic vomiting syndrome on sunshine 7/15/12 at 1pm. 2. Medical diagnosing: Pain, depression Signs and symptoms: * Subjective: Patient complaint of pain, nausea, headache, fatigue * Objective: flushed, vomiting, personnel casualty of appetency 3. EKG tracing Chest AP only takeout EGD, colonoscopy Lab shew : * PTT- Prothrombin time * PT/INR 4. The keep will provide take by offering cracker and basins at bedside. Offer an particular(a) pillow for the abdominal pain, and provide preventative by conference items near patient when patient postulate to vomit. 5. Dronabinol 2.5 mg capsulate (Marinol) either 12 min 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 hours as needed Ondansetran 4mg /2ml (zophran) 4mg intravenously every 4hrs as needed 6. Patient Care: * Vital signs monitored; smooth-spoken and Electrolytes equaliser maintained and prescribed medications administered to relieve headache, nausea, vomiting * A calm stress-free environment is provided * Advise patient to a void alcohol and products containing aspirin! 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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