Bipolar/Depression Case StudyRNUR 2050Luis Chaves is a 22-year-old who migrated to Miami at the age of 2 years with hisparents.He is unemployed and lives with his sister.He is actively involved with anintercity gang and depressed.Today he intentionally overdosed with paroxetine,zolpidem, oxycodone and alcohol.He goes to his sister’s apartment to say goodbyeafter taking the drugs and alcohol and confesses to overdosing.His sisterimmediately calls 911 as be became unconscious.On the way to the emergencyroom Luis was treated with naloxone, which produces a rapid improvement in hislevel of consciousness.He becomes agitated and starts yelling that he “doesn’twant to live anymore.”This is the report from the emergency squad:We responded to the residence at 2204.Upon arrival we found a 22-year-old maleunconscious. Sister reports that the client stated overdosing with paroxetine,zolpidem, oxycodone, ibuprofen and alcohol.Patent airway and breathingspontaneously at 8 resp. a minute, pulse 60 bpm, blood pressure 90/58 mmHg.Naloxone administered during transport and client’s level of consciousnessincreased.Began yelling “I don’t want to live anymore.” Respirations 20 breathsper minute, pulse 90 bpm, blood pressure 148/988.Handoff report given toemergency room nurse.Answer the following questions related to the above information:1.You have received report from the emergency squad, what are your top threepriorityconcerns?1. Safety- pt tried to commit suicide and doesn’t want to live anymore, so suicideprecautions.2. Blood pressure- elevated3. Respiratory because of relapse of decreased respirations after Narcan wears off.2. As the nurse triaging Luis what is your priorityfocusedassessment?1.Cultural preferences2.Respiratory status3. Suicide risk4.Substance abuse history3. Luis responded to naloxone on the way to the emergency department. Which ofthe following substances would not react to naloxone? (Select all that apply)Preview Mode
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