Percocet Emergency Room

After being escorted by the police to the hospital me and Ponyboy dashed with excitement to Johnny’s room. Before we could get even an inch in the door the doctor stopped us in our tracks. The doctor said “he is dying”. Before I could think I pulled out two-bit's switchblade. I wasn't going to let some punk doctor keep me from seeing my friend. Instead of what I thought the doctor was going to do he let us see Johnny.

3. Something is missing from the scenario. Based on his history, L.J. should have been taking an important medication. What is it, and why should he be taking it?

as if he has lost lots of weight, his face is blotchy and pale". This is a result of the harassment from is father, in the end it becomes too much for John to handle and ends up taking his life in the middle of his issues.

Could I have an prescription for an antipyretic, and do you want to continue the

by Nurse J. After five minutes, the diazepam had no effect so Dr.T ordered two milligrams of hydromorphone IVP given at 4:15 in the afternoon. The patient received another two milligrams of hydromorphone IVP and five milligrams diazepam IVP at 4:20 p.m. because Dr.T was not satisfied with the patient’s level of sedation. When the patient appeared to be sedated at 4:25 in the afternoon, the reduction of his left hip took place. At 4:35 p.m., Mr. B’s BP is 110/62 and his oxygen saturation is 92%. The “conscious sedation” policy was not followed. He did not have supplemental oxygen and his ECG and RR were not monitored. Then, Mr.B’s oxygen saturation dropped to 85%. The LPN adjusted the alarm and repeated the BP reading. Nurse J and the LPN were very busy taking care of the other patients during this time. At 4:43 p.m., Mr. B was not breathing, had no pulse, BP is 58/30 and oxygen saturation is 79%. The stat code was called.

There has been a mystery of the cause of death of pop singer Prince. Some claim he died from an overdose of a drug that goes by the name of “Percocet”. While others claim he died from aids.

I am concerned with the drug to drug interaction with Mrs. Cynthia. She has hypertension, type II diabetes, and she is old. Her body mechanism metabolism the medication at a slower rate or it may metabolism too quickly. Cynthia labs result closely because she is also diabetic and is taking Lisinopril. I am concerned with her taking a potassium-sparing diuretic, potassium supplement, and aspirin. Patients who are taking potassium-sparing diuretics, potassium supplements, potassium-containing salt substitutes should not be placed on Lisinopril (mmm ) Lisinopril is

For my research, I would like to make an impact on the number of opioids prescribed at in the Emergency Department at Houston Medical Center. The United States has an opioid crisis and uses more opioids than all other countries in the world combined (Cassidy, Dasmahapatra, Black, Wieman, & Butler, 2014) . This usage of opioids leads to abuse, dependence and hyperanalgesia. The over prescribing of opioids became dramatically increased following pharmaceutical companies downplaying side effects related to their medications. With the addition of pain as a 5th vital signs and pain becoming a question on the HCAHPS, there has been a rapidly progressing sector of narcotic prescriptions.

If the NP suspects the patient is abusing opiates and sedatives, which class of medication poses the greatest medical threat to the patient and why?

Regarding Fentanyl patch 50 mcg #10 and Percocet 10/325 mg #90, CA MTUS Chronic Pain Medical Treatment Guidelines and ODG do not support ongoing opioid treatment unless prescriptions are from a single practitioner and are taken as directed; are prescribed at the lowest possible dose; and unless there is an ongoing review and documentation of pain relief, functional status, appropriate medication use, and side effects. This is a chronic pain patient with a 2010

The patient is alert and oriented to person, place, and time. Upon initial interaction, the patient is easy to communicate with and states she is doing well. Facial features are uneven and asymmetrical, as she has a slight left facial droop due to her stroke, which she states happened a couple of years ago. DG expresses multiple times that she has a hard time seeing and she wears prescription eyeglasses. PERRLA. Skin is pink, warm, dry; temperature is 97.5 and turgor is brisk. There is a 20 gauge IV in the right hand infusing Lactated Ringers at 20ml/hour per pump, no redness or edema noted at the insertion site. Respirations are even and non-labored at 22 breaths per minute. Lung sounds are bilaterally clear. The client has a nasal cannula infusing 2 liters of oxygen with an oxygen saturation of 96%. DG tells me she is a current smoker and she smokes

The doctors soon realize that pony boy and two-bit were so desperate, even after countless times of pleading, they are finally allowed to see Johnny who was still suffering and struggling to stay alive. From the doctor’s expression, Pony-boy assumed the Johnny didn’t make it out alive. Remarkably, Johnny made it out alive, but he still has trouble speaking or moving because if he does any of those, it would cause agonizing pain. Johnny was happy to see them. Tim Shepard (the leader of a big greaser gang) stopped by to pay Johnny a visit and would soon visit Dallas too. Johnny claims that he’s afraid. The thought of death at his age scares him. He is petrified of his fear. Pony-boy disagrees with Johnny’s thoughts and tells his that he wouldn’t die. Johnny’s mother soon comes to visit, told by the nurse, and then Johnny decides that he doesn’t want to see his mother. Then Johnny’s skin begins to turn pale, and in no time he soon passes out. Two-bit comes attempts to go in the Johnny’s room to visit him, but the nurse states that he’s not allowed nor is his friend. Johnny’s mum remains in the waiting room after she was told that she wasn’t able to see Johnny. She continues to argue with the nurses. Johnny’s mother furiously blames Pony-boy and Two-bit for what had happened to her son. Meanwhile, Dally was really happy to see them. He says Tim Shepard came by to

Based on the progress report dated 09/08/16, the patient has run out of Vicodin as well as her Restoril over the last three days

This writer received a call from the dosing window by Nurse Joann while in session regards to Elizabeth and having a scar under her eye. Upon meeting with Elizabeth, she appeared to be unease that she could not dose. This writer strongly advised the patient to calm down as this writer needs to gained clarification from the Nurse as to what is going on. There is concern about the scar under the patient eye; however, the patient proclaims that she is clumsy and fell down. The nurse informed the patient about the need to speak with the on call doctor for an order to be put in place in order for the patient to dose. Based on the nurse comment, the patient was getting upset and bit emotional. This writer then questioned the patient in order for

As an MA, it is our responsibility to know everything about the patient, especially their allergies before giving or injecting any medication. It is very important to ask when doing something you are not familiar with or when doing something for the first time ever. Asking for help/advice is always the key to success and that’s another error that the MA committed. She didn’t know what the physician was allergic to, nor did she ever ask. The MA didn’t even know what the medication was used for nor did she ask either. The MA didn’t care for the patient like she should’ve, medical assistants are always taught early on that they are going to be dealing with people’s life, and mistakes are unacceptable.