Reference no: EM133934853

Assignment:

The patient, a 35-year-old male, is brought to the emergency department (ED) by friends who report that the patient has chest pain. Upon questioning, the patient admitted to being a cocaine addict and to having used cocaine several times over the past 24 hours. The patient  stated "maybe I overdosed," as he experienced chest pain on a previous occasion when he used more cocaine than he normally used. The patient is placed on telemetry in the ED and is later admitted to a telemetry bed on a nursing unit. Further cardiovascular testing finds no evidence of an acute myocardial infarction or respiratory disease.

However, it is determined that the patient has hypertension that had never been treated. The physician determines that this event is a cocaine overdose that occurred with the consequence of chest pain. The patient is also treated for hypertension and is strongly advised to continue the antihypertensive medications and to seek help to overcome the cocaine addiction, as the two conditions have serious consequences on his long-term health. A referral is given to the local community mental health center, which offers a drug counseling service. The patient agrees and is discharged accompanied by his brother.

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