Assignment task:
H.B. is a 56 yo married, white collar college professor who woke up to severe and intensifying pain in his left flank region this morning he presented to the ED in severe acute distress with significant anxiety, pallor, and diaphoresis. He could not sit still on the ED bed but continued to move around, constantly repositioning himself. Groans from pain were constant. He developed nausea from the pain and vomited twice. The ED nurse gave him promethazine hydrochloride IV for nausea. Since he reported an allergy to meperidine, he was given morphine IV for pain. Medical History Tonsillectomy for chronic earache and sore throat, age 6 Non-Hodgkin's T cell rich B cell lymphoma, age 48, treated with 6 monthly sessions of CHOP, currently in remission IgG immunodeficiency disorder, possibly secondary to lymphoma or chemotherapy, age 52 Zenker diverticulum, age 52 Renal stones, ages 35, 43, 52 (all passed simultaneously) Other than a skin allergy with meperidine, the patient has no other known allergies. He does not smoke or drink. He gets very little exercise and lately has not been compliant with instructions from his HCP to remain hydrated. He is taking raberprazaole daily for acid reflux associated with Zenker diverticulum. Need Online Assistance?