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 fuss started again. The patient is on disability secondary coil to cyclic vomiting syndrome. Last year, the patient was hospitalized more than 4 months intact for the problem. He is from Atlanta. He is coming to visit his auntie accompanied with his mom and his sister. Patient states he has to go to University infirmary speck Room for cyclic vomiting syndrome on sunshine 7/15/12 at 1pm. 2. Medical diagnosing: Pain, slump Signs and symptoms: * Subjective: Patient complaint of pain, nausea, headache, fatigue * Objective: flushed, vomiting, exit of appetency 3. EKG tracing Chest AP only movable EGD, colonoscopy Lab shew : * PTT- Prothrombin time * PT/INR 4. The take in will provide take by offering redneck and basins at bedside. Offer an particular(a) pillow for the abdominal pain, and provide sanctuary by conference items near patient when patient involve to vomit. 5. Dronabinol 2.

5 mg capsulate (Marinol) any 12 minute of arc 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 hour s as needed Ondansetran 4mg /2ml (zophran) ! 4mg intravenously every 4hrs as needed 6. Patient Care: * Vital signs monitored; smooth-spoken and Electrolytes rest maintained and prescribed medications administered to relieve headache, nausea, vomiting * A ease stress-free environment is provided * Advise patient to avoid 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 phase of the moon essay, order it on our website:
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