Skip to main content

What Are Two Questions You Would Ask This Patienti Would Ask

Page 1

What Are Two Questions You Would Ask This Patienti Would Ask This Pat What Are Two Questions You Would Ask This Patienti Would Ask This Pat What are two questions you would ask this patient? I would ask this patient if he is experiencing a headache. At this time, it is important to try to determine whether or not the patient is experiencing a hemorrhagic versus ischemic stroke, as treatment will be different. Hemorrhagic strokes often present with headaches and loss of consciousnesses. They are treated with surgery to stop the bleeding as opposed to TPA or other reperfusion methods for ischemic strokes. They are also often caused by severe hypertension. A CT scan will be obtained to concretely determine the type of cerebrovascular accident that is occurring but it is an important time-saving assessment to anticipate what services the patient may need in the immediate future. My second question would be if the patient has a history of CVA or TIA. The onset of symptoms will be when the patient fell asleep, as the exact time of onset cannot be determined. This would make him ineligible for TPA but given his history, he has numerous risk factors for an ischemic stroke and may require surgical intervention to restore cerebral perfusion (McCance & Huether, 2019). Identify the subjective data for this patient Symptoms noticed at 5am after going to bed at 11pm, right handed, history of CAD, HTN, HLD, and MI at age 50, episode of amaurosis fugax (blindness) in his right eye one month ago that lasted for 5 minutes, bilateral leg pain 3 months ago during 15 minute walk, currently takes baby aspirin a day, ACE inhibitor, and statin, history of alcohol use and smoking but quit after MI. Identify the objective data for this patient Slurred speech, left-sided weakness, unable to move left arm and leg, blood pressure is 195/118, pulse 106, respiratory rate 18, temperature 99.8°F, O2 saturation 97% on room air; pupils are equal and reactive, ocular movements are intact, but he is unable to turn his eyes voluntarily toward the left side, neck is supple, no jugular vein distension, no carotid bruits, lungs are clear, heart sounds are regular without murmurs, abdomen is normal, limbs are not well perfused distally, neurologic exam shows alertness and orientation but with lack of recognition of being sick, loss of awareness and attention on the left side, mild dysarthria with fluent speech, good understanding and command following, mild weakness on the left face and homonymous hemianopsia, no nystagmus or ptosis, no tongue or uvula deviation, inability to move


Turn static files into dynamic content formats.

Create a flipbook
What Are Two Questions You Would Ask This Patienti Would Ask by Dr Jack Online - Issuu