Reference no: EM133568568
A 62 year old T.W , African American woman with history of hypertension and hyperlipidemia presented to a primary stroke center with sudden onset of weakness of the right side that stated 2 hours ago. Has 50 -pack -year smoking history , drinks 2 Vodka drinks a night , BMI 40. On examination , she had a global aphasia , left gaze preference , right homonymous hemianopsia, right facial droop, dysarthria, and right hemiplegia. VS T- 98.7 F, B.P 200/124, H.R 109, R-24, O2 sat 94%RA, C/O pain 6/10 to right leg.
Questions
1) What is priority nursing intervention?
2) What health history needs to be gathered?
3) List all the risk factor for CVA?
4) List all T.W's risk factors.
5) No medication are listed . What medication should T.W be taking?
Case Progression : Head CT show only equivocal hypo density in the left middle cerebral. CT angiography showed a left middle cerebral artery occlusion.
Questions:
6) Is patient eligible for tPa? Why or why not?
7) List 5 nursing intervention with rationale.
8) List 5 nursing goals.
Patient was transferred to a comprehensive stroke center , where digital subtraction angiography confirmed left middle cerebral artery occlusion.
Questions:
9) List 5 nursing intervention with rationale.
10) List 5 nursing goals.
Case Progression: The next day, she had only a very mild expressive aphasia and right facial droop.
Question:
11) How do we prepare patient for discharge?
MD ordered Metoprolol 50 mg orally BID , Coumadin 3mg P.O daily, Atorvastatin 20mg P.O QHS, Norco 5/325mg orally Q4 hours PRN, Furosemide 20 mg orally daily, Amlodipine 10 mg P.O Daily .
12 ) Look up each medication and rationale why MD ordered each medication and the benefits for the patient?
13) What will you teach the patient?
14) Would the patient benefits from rehabilitation? Why or Why not?