Doris De Lorenzo is a 85-year-old patient Dr Grey is the on-call GP. Doris is retired and lives alone. Doris has a history of GORD, and angina but is otherwise relatively active. Doris presents to the ED with acute abdominal pain and cramping for the past 3 days. She is feeling short of breath; talking in short sentences. Doris reports she has been unable to keep anything down for the past 24 hours, and feeling very bloated. Your RN states she has given Doris 5mg morphine IV 10 minutes ago with minimal effect, and patient has vomited x 2 since arriving.
In your own words, explain what you think is possibly happening to Doris in this scenario with rationales to support your answers. Identify ongoing care required for Doris, considering ongoing pain relief, managing dehydration, recommended tests or scans required, and ongoing monitoring, assessment recommendations .