Postoperative Record\nA 68-year-old opioid-naive client with obstructive sleep apnea and stage 3 chronic kidney disease is receiving hydromorphone by patient-controlled analgesia and scheduled gabapentin. After therapy begins, the client is difficult to arouse, cannot keep the eyes open, has respirations 7/min and shallow, SpO2 86 percent on 2 L/min oxygen, end-tidal carbon dioxide 58 mm Hg and rising, and pinpoint pupils.
術後紀錄\一位 68 歲鴉片類藥物初次使用者 患有 阻塞性睡眠呼吸中止症 和 第 3 期慢性腎臟病，正在接受 病人自控式止痛法 (PCA) 的氫嗎啡 和 定時加巴噴丁。治療開始後，病人 難以喚醒，無法睜開眼睛，呼吸 7 次/分鐘且淺快，SpO2 在 2 公升/分鐘氧氣下為 86%，呼氣末二氧化碳 58 毫米汞柱且持續上升，瞳孔針尖狀。