A Bipolar/Depression Case Study: Luis Chaves is a 22-year-old
who migrated to Miami at the age of 2 years with his parents.
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, Clinical Case Study: Emotion (Mood, Anxiety, & Grief)
Case: Bipolar Disorder with Depression
Related Concepts: Adaptation, Coping, Wellness, Self-Management,
Medication management & Suicide attempt
Luis Chaves is a 22-year-old who migrated to Miami at the age of 2 years
with his parents. He is unemployed and lives with his sister. He is actively
involved with an intercity gang and depressed. Today he intentionally
overdosed with paroxetine, zolpidem, oxycodone and alcohol. He goes to
his sister’s apartment to say goodbye after taking the drugs and alcohol and
confesses to overdosing. His sister immediately calls 911 as he became
unconscious. On the way to the emergency department Luis was treated
with naloxone, which produces a rapid improvement in his level of
consciousness. He becomes agitated and starts yelling that he “doesn’t
want to live anymore.”
Pre-Hospital Note
October 26 Paramedics responded to the residence at 2204.
2300 Upon arrival to the scene found a 22-year-old male
unconscious. Sister reports that the client stated
overdosing with paroxetine, zolpidem, oxycodone,
ibuprofen, and alcohol. Patent airway and
breathing spontaneously at 8 respirations per
minute, pulse 60 beats per minute, blood pressure
90/58 (69) mmHg. Naloxone administered during
transport and client’s consciousness level
increased. Began yelling, “I don’t want to live
anymore.” Respirations 20 breaths per minute,
pulse 90, blood pressure 148/98 (115) mmHg.
Handoff report to the emergency department
nurse.
1. The nurse receives the above handoff from emergency medical
personnel that brought Luis into the emergency department. What
are the 3 priority concerns or cues?
a) The risk for suicide
b) The risk for withdrawal
c) The risk for respiratory depression
who migrated to Miami at the age of 2 years with his parents.
Page 0 of 11
, Clinical Case Study: Emotion (Mood, Anxiety, & Grief)
Case: Bipolar Disorder with Depression
Related Concepts: Adaptation, Coping, Wellness, Self-Management,
Medication management & Suicide attempt
Luis Chaves is a 22-year-old who migrated to Miami at the age of 2 years
with his parents. He is unemployed and lives with his sister. He is actively
involved with an intercity gang and depressed. Today he intentionally
overdosed with paroxetine, zolpidem, oxycodone and alcohol. He goes to
his sister’s apartment to say goodbye after taking the drugs and alcohol and
confesses to overdosing. His sister immediately calls 911 as he became
unconscious. On the way to the emergency department Luis was treated
with naloxone, which produces a rapid improvement in his level of
consciousness. He becomes agitated and starts yelling that he “doesn’t
want to live anymore.”
Pre-Hospital Note
October 26 Paramedics responded to the residence at 2204.
2300 Upon arrival to the scene found a 22-year-old male
unconscious. Sister reports that the client stated
overdosing with paroxetine, zolpidem, oxycodone,
ibuprofen, and alcohol. Patent airway and
breathing spontaneously at 8 respirations per
minute, pulse 60 beats per minute, blood pressure
90/58 (69) mmHg. Naloxone administered during
transport and client’s consciousness level
increased. Began yelling, “I don’t want to live
anymore.” Respirations 20 breaths per minute,
pulse 90, blood pressure 148/98 (115) mmHg.
Handoff report to the emergency department
nurse.
1. The nurse receives the above handoff from emergency medical
personnel that brought Luis into the emergency department. What
are the 3 priority concerns or cues?
a) The risk for suicide
b) The risk for withdrawal
c) The risk for respiratory depression
