Blood Pressure And Metabolism Of A Home Alone After A Distress Call

"The toxicology studies on blood reveal the presence alprazolam, and amphetamine at levels likely consistent with the therapeutic range, a metabolite of buproprion and a high level of fentanyl. Phenylpropranolamine and amphetamine are present in the urine. When fentanyl and alprazolam are taken together there may be a synergistic central nervous system depressive effect. Based on the history and circumstances, s currently known, the manner of death is accident."

My work day began the night before my shift started, as I received an email from my supervisor and was pleased to see my favorite patients on my list. Anna was scheduled first on my itinerary. She had become a quadriplegic after a serious fall down a flight of steps. Next was Mr. William, who was dying of a brain tumor. This man had the best attitude towards life, and always kept me laughing. My last patient of the day was Mrs. Patsy. She was very dear to my heart, and I had grown very close to the family, because I had been seeing her for over six months. Every time I walked into Mrs. Patsy house, she wanted an update and recent pictures of my children. It is unusual to have everyone agree on the scheduled time, but this warm summer evening was the exception. Tomorrow’s schedule was looking great and I was ready to get some rest.

After his lunch break, Tom didn’t have long to wait before the paramedics burst in through the swinging double-doors of the ambulance bay wheeling in a young man on a gurney. Edward, a veteran EMT, recited the vital signs to Tom and Dr. Greene as they helped push the gurney into the trauma room,

to return in 5 days to discuss the results of his tests. Over the next 2 weeks, K.D. develops a fever of 101° F, nonproductive cough, and increasing shortness of breath (SOB). Late one night he becomes acutely SOB, so his roommate, J.F., takes him to the emergency department (ED) where he is subsequently admitted to the hospital with probable

He almost died. Apparently the blood vessel broke from all the drugs he did. (that

He also experienced several occasions of withdrawal when using cocaine. For instance, the next morning after getting high with the red-hair women, he woke up in the living room on a couch with extreme fatigue, slow movements, and instability to hold himself still. Moreover, the lieutenant engaged in substance use that was physically hazardous. He drank alcohol and sniffed cocaine while driving. He was listening to a baseball game, but got upset after realizing the team he was betting for was losing. The cocaine and alcohol altered his attitude which led him to engage in reckless driving and shoot his radio with a firearm. His occupational duties were also reduced because he is constantly using drugs. He was heavily drinking at a bar watching a baseball game he placed a bet on. Consequently, the drugs led him to pay more attention towards the game instead of actively fulfilling his occupational duties. By being able to identify six or more symptoms, the severity of his substance use disorder is severe.

He was addicted to opiate medication ‘Percocet’ that he took non stop to dull all the pain he was having in the last few months on his days in the world. When he was in his mansion in the elevator he had several packages of prescription painkillers on him when he was found dead.

Was it an accidental overdose or is that information unknown to investigators and the general public? Was it ruled a suicide?

B’s tolerance to opiates not considered, Mr. B.’s clinical situation not considered (i.e., Mr. B’s age and renal function), and knowledge deficit of opiates. Drilling down the data to identify the root cause of Mr. B’s death is the fifth step in conducting a RCA on Mr. B’s sentinel event. Upon analyzing the data, causative factors, and events leading to Mr. B’s sentinel event, the RCA team determined that the root cause of Mr. B’s death is a medication error. Mr. B was given an overdose of hydromorphone. The final step in a root cause analysis is to implement changes that will mitigate the root cause. Changes include educating the nursing staff about hydromorphone, such as side effects and adverse reactions,

Lorena pauses to think, then says, “Nothing yet. He called me last night and told me that he wasn’t sure if he could come here soon—with all the things that need to be done around the hospital... it’s busy being a

“It’s an interesting, story about how we met him. Do you want to hear it?”

"Zach, everyone knows that Slender-Man is obviously a urban legend. No one is scared of Slender-Man anymore anyways." Jason commented. Zachary just laughed. "

The thing that is causing this acute condition is an overdose, an overdose with drugs that can probably be found in your house.

“This is your newest patient, we don’t know his name. He was drugged when we picked him up, been runnin’ a solid fever. I don’t know if it’s best if he stays drugged. I guess wait ’til you see his mouth, Asa. It’s pretty bad.

“Yes.” she answered blankly. At first sight, the man standing in front of her wasn’t impressive, nor a surprise.