Faith&Service

I've chosen to do a big project on a patient I had (first clinical ever!) who experienced very profound intolerance to pain medication (Percocet, Ultram) (manifesting low BP, confusion, unresponsiveness, lethargy-obtundation). He had to be taken from the TCU and hospitalized when he was found unresponsive. Upon eval, meds were not administered incorrectly. It was decided pt could not 'tolerate anything stronger than Tylenol.' The Dx I've proposed (and my instructor encouraged) is "Altered Level of Consciousness." I can't find any resources on such a diagnosis, however, and I'm wondering if there is a more astute Dx I should be ferreting out. Nothing I've seen quite matches the narcotic intolerance/reaction picture I think my instructor and I want to deal with in the form of a sound nursing Dx. Any help appreciated.

Does anyone have any tips for an ADDer to turn a bad clinical start around? I've found the tips so far (writing notes--especially the post from the LTC/Rehab nurse)valuable. The more precise, the better. I need to change the impression I've made with my instructor. I was really nervous and flubbed up a bolus feeding (or, more like I just asked too many question) and, gasp, forgot to check an id band before administering medication. I was scared to read this thread at first. I thought I'd hear witch-burning stories of ADDers being shamed out of the workplace. I'm in my first clinical of nursing school, forth week. I thought it was going well but then I got my mid-term eval. My instructor said I show a lack of organization. She even used the word "spacey" to describe me. I feel I made a big mistake letting her know on an orientation-day info sheet that I have ADD. I really feel that she (perhaps unconsciously) put a red flag on me.