Reference no: EM133747362

Client transported to emergency department by emergency medical services. Client found in a bathroom at a bar unresponsive and without a pulse. Report by emergency medical services states that a needle was in the client's left antecubital space. Naloxone was administered at the scene. EMS relayed that someone saw the client have one beer and then go to the bathroom. Client drowsy, arouses to noxious stimuli, but falls back asleep quickly.

• Eyes: Pupils reactive, miotic • Heart: Normal rate and rhythm • Lungs: Equal bilateral, clear to auscultation • Abdomen: Decreased bowel sounds • Skin: Marks in left antecubital space Conditions opioid withdrawal opioid intoxication alcohol intoxication alcohol withdrawal hallucinogen intoxication Find pupil characteristics abdominal findings current temperature breath sounds amount of alcol consumed Review of medical record 2 weeks prior: Discharge note: At 0600, Client transported to the emergency department by emergency medical services. Client was found in the park by runners. Client presented with manifestations of sedation, miosis, hypokinesis, and mood alteration. Supportive care provided. At 1000, client stated, "I am going to throw up. I've never used this drug before." Assessment revealed mydriasis, hyperreflexia, diaphoresis, piloerection. Supportive care provided. Medications included buprenorphine/naloxone taper x 4 days. Client stabilized and discharged back to shelter after completing the 4-day buprenorphine/naloxone taper. ASUS