1. The patient is a 31-year former(a) Caucasian male who has been admitted several(prenominal) times for cyclicalal 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 riddle started again. The patient is on disability secondary coil to cyclic vomiting syndrome. Last year, the patient was hospitalized more than 4 months center for the problem. He is from Atlanta. He is coming to visit his auntie attended with his mom and his sister. Patient states he has to go to University infirmary urgency Room for cyclic vomiting syndrome on sunshine 7/15/12 at 1pm. 2. Medical diagnosing: Pain, printing Signs and symptoms: * Subjective: Patient complaint of pain, nausea, headache, fatigue * Objective: flushed, vomiting, expiry of appetency 3. EKG tracing Chest AP only portable EGD, colonoscopy Lab shew : * PTT- Prothrombin time * PT/INR 4. The lactate will prov ide take by offering cracker and basins at bedside. Offer an particular(a) pillow for the abdominal pain, and provide sentry duty by conference items near patient when patient ask to vomit. 5. Dronabinol 2.5 mg capsulate (Marinol) all 12 second 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 sense of balance maintained and prescribed medications administered to relieve headache, nausea, vomiting * A still stress-free environment is provided * Advise patient to avoid alcohol and produ cts containing acetylsalicylic acid and NSA! ID and food that may cause in GI irritation. * Instruct patient to take...If you want to get a full-of-the-moon essay, order it on our website: OrderCustomPaper.com
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