Your patient is a 66-year-old female that was transferred to your unit from another inpatient area with a suspected stroke. The patient has slurred speech and left-sided weakness. Her CT scan is negative for bleeding. You anticipate that your patient may be a candidate for tPA. Which of the following will exclude her from receiving tPA?
a. Age 66
b. BP 155/78
c. Symptom onset = 5 hours
d. Warfarin
1 d
So Ans is d.
Your patient is a 66-year-old female that was transferred to your unit from another inpatient area...
Your patient is a 66-year-old female that was transferred to your unit from another inpatient area with a suspected stroke. The patient has slurred speech and left-sided weakness. Her CT scan is negative for bleeding. You anticipate that your patient may be a candidate for tPA. Which of the following will exclude her from receiving tPA? a. Age 66 b. BP 155/78 c. Symptom onset = 5 hours d. Warfarin
Stroke Patient Profile B.W. is a 72-year-old white female admitted 2 days ago to the medical unit with a stroke. She has left-sided hemiparesis. A noncontrast CT scan, about 2 hours after the onset of symptoms, was negative. A second CT scan, 12 hours later, was positive for an ischemic area in the right hemisphere. Objective Data Physical Examination Pupils equal, round, reactive to light and accommodation Decreased sensation in left lower extremity, no sensation in left upper extremity, normal...
A 45-year-old female was brought to the Emergency Department by ambulance at 8 AM. Upon awakening, the patient's husband noticed she had an unsteady gait and her speech was slurred. When they went to bed the night before, at 11 PM, the patient had no deficits. A head CT was negative for abnormalities. The patient's condition continued to deteriorate, and she required intubation and mechanical ventilation. TPA was not administered. The patient was admitted to the Intensive Care Unit for...
Patient is a 63 year old Senior Partner in a Law Firm. While eating breakfast Michael experienced sudden onset slurring of speech, had facial droop on his left hand side with weakness in left side upper and lower limbs. Michael's wife Mary spotted these sudden onset of symptoms and immediately called for an ambulance, which arrived within 15 mins. Past Medical History Asthma - Dx Aged 8 Hypertension Grade 1 - Dx 5 years ago Prediabetes - Dx 3 years...
***Questions 12-15 refer to the following patient: A 28-year-old woman with a history of severe HTN and a current BP of 190/118 presents to the ER with certain S&S that are consistent with brain attack (stroke). A CAT scan shows bleeding in one hemisphere of the cerebrum. Review the list of statements ( AQ) below and highlight the ones that would be consistent with the scenario above, as well as what you've learned from your readine. Note that you are...
Questions 12-15 refer to the following patient: A28-year-old woman with a histony of severe HTN and a current BP of 190/118 presents to the ER with certain S&S that are consistent with brain attack (stroke). A CAT scan shows bleeding in one hemisphere of the cerebrum. Review the list of statements (A-Q) below and highlight the ones that would be consistent with the scenario above as well as what you've learned from your reading. Note that you are not told...
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unit-4 clinical practice Ethics and Values You are caring for a 17-year-old female patient with sickle cell disease who has been admitted for treatment of sickle cell crisis. Sickle cell disease is a genetic abnormality that affects hemoglobin in the red blood cells. In a sickle cell crisis weakened red blood cells clump together and impede blood flow, causing extreme pain. To prevent stroke and manage the pain of the crisis, your patient needs aggressive fluid and comfort management. At...
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