Question

Hematology Case Study 1) This is an instruction sheet ONLY and should not be used to...

Hematology Case Study

1) This is an instruction sheet ONLY and should not be used to write the below paper. Open a new Word document to construct paper.

2) Must be APA formatting throughout.

3) Must have a title page.

4) Must have a reference page.

5) The body of your paper must be at least three full pages not including the title page and reference (those are separate pages).

6) All seven questions must be answered in its entirety.

7) Must cite at least two references in the body of your paper to support your work.

Nursing care management for a stroke patient

Presentation: You inherit a new patient F. L. who has a history of "recent stroke." He was recently (approximately 3 months ago) hospitalized, but you don't have his records at the moment. The patient's wife wanted him "checked out," and states that his "cat scan" showed a stroke. She claims, "They did a bunch of other tests but didn't find anything." She does not think he has hypertension but adds, "He does not like to go to doctors." The past medical history is unknown. He does report taking aspirin 81mg daily and does not have any known drug allergies. Patient F. L. smoked one pack a day but quit five years ago, however he does drink socially. As for his family history, his mother died at the age of 79 from a stroke and his father died at the age of 64 from a myocardial infarction; he is the only child.  He is 57 years old, married to his wife for 29 years and has three children. He works Monday through Friday as an accountant.

Medications: Aspirin 81mg daily

Review of systems: Subtle left hemiparesis; increased tone and hyperactive reflexes; very mild neglect of his left side.

Physical exam: Vitals: height = 72″, weight = 225, body mass index = 30.5, blood pressure = 150/99 mm Hg; heart rate = 93 beats per minute at rest.

  1. Describe the pathophysiology of a stroke.
  2. What would your nursing assessment consist of? What should you be cognitive of stroke patients?
  3. What are the three short-term goals for this patient?
  4. What are the three nursing interventions for this patient?
  5. What are three things you would discuss with the patient and his family during your discharge teaching?
  6. What are two medications (other than aspirin) that could be provided for this patient and why?
    1. What is the mechanism of action of each?
    2. What are some of the possible side effects associated with these medications?
    3. How would the patient benefit from taking these medications?
  7. What are three recommendations for follow-up care?
0 0
Add a comment Improve this question Transcribed image text
Answer #1

ANSWER- PATHOPHYSIOLOGY OF STROKE -

due to deficit into the blood supply of the brain there are irreversible changes in the brain which is known as cerebral infarction - deficit into the blood supply there are decrease blood supply - decrease oxygen - cell death - STROKE /CEREBRAL VASCULAR ACCIDENT

NURSING ASSESSMENT IN STROKE -

  • Changes in level of consciousness
  • presence or absence of voluntary or involuntary movement of extremities
  • presence of bleeding
  • monitor blood pressure
  • asses eye opening, size of pupils and pupillary reaction to light
  • asses color of face , extremity of face , temperature

SHORT TERM GOALS - Rehabilitation and to improve the individuals level of functioning so that a client become as independent as possible and return to home safely

NURSING INTERVENTION -

  • assess cranial nerve functioning
  • bladder and bowel care
  • avoid I/M injection because it increase the chances of bleeding
  • avoid unnecessary vein puncture
  • maintain blood pressure
  • administer medication as advice by the doctor.
  • assist the patient during feeding

HEALTH TEACHING -

  • educate the patient's attendent that patient need to get specialty beds , aids to safety , feeding , toileting and grooming.
  • advice the patient avoid smoking , alcohol
  • advice the patient to do exercise daily
  • advice the patient to take medication on time as prescribed by the doctor

advice the patient to use unaffected extremity to assist the affected side in movement and locomotion.

MEDICATIONS -

  • Tissue plasminogen activator (T.P.A) - for ischemic stroke
  • Streptokinase , urokinase
  • Antihypertensive
  • Ca- channel blocker
  • corticosteroid
  • antiplatelet drugs - eg clopidogrel , warfarin, heparin
Add a comment
Know the answer?
Add Answer to:
Hematology Case Study 1) This is an instruction sheet ONLY and should not be used to...
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for? Ask your own homework help question. Our experts will answer your question WITHIN MINUTES for Free.
Similar Homework Help Questions
  • Hematology Case Study 1) This is an instruction sheet ONLY and should not be used to...

    Hematology Case Study 1) This is an instruction sheet ONLY and should not be used to write the below paper. Open a new Word document to construct paper. 2) Must be APA formatting throughout. 3) Must have a title page. 4) Must have a reference page. 5) The body of your paper must be at least three full pages not including the title page and reference (those are separate pages). 6) All seven questions must be answered in its entirety....

  • c u y y paper to suPPORT YOU WIR Nursing care management for a stroke patient...

    c u y y paper to suPPORT YOU WIR Nursing care management for a stroke patient Presentation: You inherit a new patient F. L. who has a history of "recent stroke." He was recently (approximately 3 months ago) hospitalized, but you don't have his records at the moment. The patient's wife wanted him "checked out," and states that his "cat scan" showed a stroke. She claims, "They did a bunch of other tests but didn't find anything." She does not...

  • Presentation: You inherit a new patient F. L. who has a history of "recent stroke." He...

    Presentation: You inherit a new patient F. L. who has a history of "recent stroke." He was recently (approximately 3 months ago) hospitalized, but you don't have his records at the moment. The patient's wife wanted him "checked out," and states that his "cat scan" showed a stroke. She claims, "They did a bunch of other tests but didn't find anything." She does not think he has hypertension but adds, "He does not like to go to doctors." The past...

  • A Fib Case Study A 67-year-old man presents to the ER with palpitations and dyspnea which...

    A Fib Case Study A 67-year-old man presents to the ER with palpitations and dyspnea which began approximately 4 hours ago. He has a history of HTN, left ventricular hypertrophy, Diabetes, and GERD. His current medications are lisinopril, metformin, and omeprazole. He has no history of stroke or TIA. He is accompanied by his wife who reports drinking 1 pot of coffee daily and 1-2 beers on the week-ends. He does not binge drink or use herbal or alternative mediations....

  • Answer the following case study in an APA formatted paper. Research sources to answer this question...

    Answer the following case study in an APA formatted paper. Research sources to answer this question must be identified in your paper. “Mr. Gonzales, age 75, was brought to the United States from Mexico to live with his extended family. His wife of 40 years died of heart failure 3 months ago. He is now living with his married daughter and her husband and their three children. He speaks no English. His daughter is the only other person in the...

  • Cardiac Health Disruption - Real Life Case Study Permission has been granted to share this actual...

    Cardiac Health Disruption - Real Life Case Study Permission has been granted to share this actual doctor's report of a valve replacement surgery. Please, read these three documents. You may not understand all the terminology, but after studying Hinkle and Cheever (2018) you should be able to get the idea of what all took place. What is not in this report is the concern before the surgery of the patient and family. The patient lives in an assisted living facility...

  • Answer in APA Format with a Reference page 30 Case+Study+CVA View Review Layout Draw Insert Home...

    Answer in APA Format with a Reference page 30 Case+Study+CVA View Review Layout Draw Insert Home A. w Roma save changes to this file. Assignment: Answer the focused questions below in a separate word document in APA format including wh references for completing the document. information you need from the scenario. You must use at least 3 Scenario: At 0645 John Jacobs, a 65 year old African American male, is admitted to Miami University Hospital. He was seen in the...

  • A 67-year-old man presents to the ER with palpitations and dyspnea which began approximately 4 hours...

    A 67-year-old man presents to the ER with palpitations and dyspnea which began approximately 4 hours ago. He has a history of HTN, left ventricular hypertrophy, Diabetes, and GERD. His current medications are lisinopril, metformin, and omeprazole. He has no history of stroke or TIA. He is accompanied by his wife who reports drinking 1 pot of coffee daily and 1-2 beers on the week-ends. He does not binge drink or use herbal or alternative mediations. His wife reports he...

  • Case Study 4 During a clinical experience in a medical-surgical course, Ray is assigned to care...

    Case Study 4 During a clinical experience in a medical-surgical course, Ray is assigned to care for a patient with end-stage renal failure who is semiconscious. He is told in report that the family members have been present at his bedside the entire hospital stay and hospice has been contacted. As part of his assignment, he must take a complete history, provide total patient care, and educate the patient and family about the medical problems and medications. During his care...

  • ut References Mailings Review View AAAA XXAAO ! Abte Autote AaBbccbe Aalbed . A AaBb Sre...

    ut References Mailings Review View AAAA XXAAO ! Abte Autote AaBbccbe Aalbed . A AaBb Sre Start your true one month office 365 or sign in to t o an existing subscription A Fib Case Study A 67-year-old man presents to the ER with palpitations and dyspnea which began approximately 4 hours ago. He has a history of HTN, left ventricular hypertrophy, Diabetes, and GERD. His current medications are lisinopril, metformin, and omeprazole. He has no history of stroke or...

ADVERTISEMENT
Free Homework Help App
Download From Google Play
Scan Your Homework
to Get Instant Free Answers
Need Online Homework Help?
Ask a Question
Get Answers For Free
Most questions answered within 3 hours.
ADVERTISEMENT
ADVERTISEMENT