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, nausea, 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 2. How should questions related to these areas be addressed?
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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, nausea, 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
Discussion Questions
Answer the following questions:
1. What other information is needed to assess N.C.’s condition?
2. How should questions related to these areas be addressed?
3. What other clues should the nurse be alert for in assessing N.C.’s drug use?
4. What emergency conditions must be carefully monitored?
5. Priority Decision: What are the priority nursing interventions?
6. What is the best way to approach N.C. to engage him in a treatment program?
7. Priority Decision: Based on the assessment data presented, what are the priority nursing diagnoses? Are there any collaborative problems
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