Question

DJ is a 30 year old female admitted to the ED with a complaint of severe pain to her upper back and neck that started after she was rear ended 3 days ago.

Recent History

DJ denies any history of surgeries or ongoing medical problems. She states she works as a physical therapist. She exercises regularly and eats healthy. She states she drinks alcohol rarely and does not smoke. She states she is on oral birth control and is not pregnant.

Medication Reconciliation List

Ibuprofen 200 mg PRN as needed for pain

Orthro Tri-Cyclen LO 1 tab PO daily

Additional Information for Consideration

After examination by the ED provider DJ is given Morphine 4 mg IM, Zofran 4 mg ODT, and Valium 5 mg PO for pain. She is awaiting laboratory and x-ray results when she is noted to have a decreased level of consciousness and slow respirations.

What is the primary focus of treatment at this point?

Name at least 2 medications that could be used to improve her condition.

Are there any other support measures that should be instituted?

Answer 1

1) The primary focus of treatment at this point is;
• to treat slow respiration and decreased level of consciousness.
• severe pain to her upper back and neck.

2) Other medications
• neproxen
• celecoxib
• salbutamol
• salmeterol
• caffeine. etc

3) Yes, there are other support that should be instituted, that is to treat decreased level of consciousness and slow respirations. Provide nebulisation to treat slow respiration and provide caffeine to maintain consciousness.