Reference no: EM133567651

Ischemic Stroke Case Study

1. What are the signs/symptoms of a left hemispheric stroke?

What are the signs/symptoms of a right hemispheric stroke?

A 65-year old patient presents to the ER with facial droop, slurred speech, and right sided weakness. His previous medical history (PMHx): includes hypertension (HTN) and diabetes mellitus (DM). Medications include metformin, lisinopril, and metoprolol. He states he was mowing the lawn and just felt weak. His wife brought him straight to the ER. They live 7 minutes away.

The nurse performs a neurologic assessment and agrees with the findings of facial droop, slurred speech, and right sided weakness. The current vital signs are HR 104, BP 150/72, RR 22, SpO2 94% room air.

The patient is sent to CT.

3. Why is a head CT needed for stroke patient?

The patient is diagnosed with an ischemic stroke.

4. What are modifiable risk factors for ischemic stroke?

5. What medication should be considered if the onset of ischemic stroke is less than 4.5 hours?

6. Are the indications to receive the medication identified in question 5?

7. What surgical procedures could be offered for ischemic stroke?

Hemorrhagic Stroke Case Study

1. What are the signs/symptoms of a left hemispheric stroke?

2. What are the signs/symptoms of a right hemispheric stroke?

A 55-year old woman presents to the ER after a severe headache with subsequent collapse. She is unconscious and not following commands. Her right pupil is dilated. Her current VS are RR 24, SpO2 92% with 15L nonrebreather mask, BP 170/90, HR 122. She is sent for a stat CT head.

3. Why is a head CT needed for stroke patient?

The patient is diagnosed with a hemorrhagic stroke.

4. What are the symptoms of a hemorrhagic stroke?

5. What are the two main causes of hemorrhagic strokes?

6. What are the treatment options for hemorrhagic strokes?

7. What is ICP?