The patient reported to the ER with nausea/vomiting and weakness.The patient is on OxyContin for chronic pain due to unresectable pancreatic cancer.The patient was in extreme pain and decided to double the OxyContin dosage.When this did not relieve the pain,the patient decided to drink a couple of shots of whiskey.The patient got very weak and called 911.The patient was volume depleted and was treated with IVs;his pain medications were adjusted.Final Diagnosis: Accidental overdose of OxyContin.Pain due to pancreatic cancer.

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The patient's medical history reveals chronic pain due to pancreatic cancer and current medication regimen includes OxyContin. The patient overdosed on OxyContin and also consumed alcohol, resulting in nausea/vomiting, weakness, and extreme pain. The final diagnosis includes accidental overdose of OxyContin, pain due to pancreatic cancer, dehydration (volume depletion), and electrolyte imbalance. The appropriate codes for the above conditions are T40.2x1A for accidental overdose of OxyContin, T51.0x1A for alcohol-induced intoxication, C25.9 for pancreatic cancer, G89.3 for chronic pain, R53.1 for weakness, and R11.2 for nausea/vomiting. E86.9 is the appropriate code for electrolyte imbalance due to dehydration.

The Patient Reported to the ER with Nausea/vomiting and Weakness