Medical-Surgical Nursing:Assessment and Managementof Clinical Problems 9th Edition by Sharon Lewis,Shannon Ruff Dirksen,Margaret McLean Heitkemper,Linda Bucher

Exercise 18

CASE STUDY: Cocaine Toxicity Patient Profile N.C. is a 34-year-old man who was admitted to the emergency department with chest pain, tachycardia, dizziness, nau- sea, and severe migraine-like headache. Subjective Data
• He thinks he is having a heart attack.
• Admits he was at a party earlier in the evening drinking alcohol, smoking pot, and snorting cocaine.
• States he became irritable and restless.
• States he has experienced an increased need for cocaine in the past few months. Objective Data
• Appears extremely nervous and irritable
• Appears pale and diaphoretic
• Has tremors
• BP 210/110, HR 100 bpm, RR 30
-Priority Decision: Based on the assessment data presented, what are the priority nursing diagnoses? Are there any collaborative problems? 12 Inflammation and Wound Healing