This case study was performed remembering the ultimate objective to support and appreciate the unmistakable characteristics of CVA and its signs and symptoms. The focus of this case study will be on hemorrhagic strokes.
A cerebrovascular accident (CVA) or stroke is caused by an acute lack of blood supply to part of the cerebrum. There are two major types of stroke: ischemic, in which a blockage (a blood clot) diminishes or ends blood stream, and hemorrhagic, in which bleeding in the brain triggers a reaction that limits blood supply somewhere else. The pathophysiology of cerebrovascular accident is distinctive for these two types of strokes (Broyles, 2009).
Hemorrhagic stroke represents around 13 percent of stroke cases. It results from a …show more content…
Jackson does have history of Hypertension. Patient is noncompliance with medication which was Lopressor 25mg daily. The wife states he refuses to take his medicine because of having difficulties with erection. Patient has not taking the medication for two and half months. The wife recalls Mr. Jackson having a sudden headache that will come and go loss of balance, having vision changes, and being sleepy often. All of these signs are indicators for possible stroke that they ignored. Mr. Jackson also drinks socially and doesn’t exercise, and these factors can also contributed to his stroke (Kolato, 2008)
Discharge Planning
It has been 10 days since his admission and Mr. Jackson is now out the ICU and on a step down surgical unit. His VS have remained stable HR 82, RR18, BP 130/90, Spo2 99%. Physical and occupational therapy has started for the patient. Also speech therapy has being initiated. The physician has written orders to be discharge to Brooks Rehabilitation.
Medications
• Tylenol 325mg Q4H (headache pain)
• Nimodipine 30mg (reduce the risk of delayed brain injury caused by insufficient blood flow)
• Dilantin 100mg three times a day (used to treat seizures related to a ruptured aneurysm.
• Norvasc 5mg daily (for hypertension)
Exercise
Patient will perform activity as tolerated. Mr. Jackson will continue physical, occupational, and speech therapy while at Brooks Rehab. No strenuous activities.
Diet
Patient is to remain on a low fat and low sodium
A cerebrovascular accident (CVA) or stroke is caused by an acute lack of blood supply to part of the cerebrum. There are two major types of stroke: ischemic, in which a blockage (a blood clot) diminishes or ends blood stream, and hemorrhagic, in which bleeding in the brain triggers a reaction that limits blood supply somewhere else. The pathophysiology of cerebrovascular accident is distinctive for these two types of strokes (Broyles, 2009).
Hemorrhagic stroke represents around 13 percent of stroke cases. It results from a …show more content…
Jackson does have history of Hypertension. Patient is noncompliance with medication which was Lopressor 25mg daily. The wife states he refuses to take his medicine because of having difficulties with erection. Patient has not taking the medication for two and half months. The wife recalls Mr. Jackson having a sudden headache that will come and go loss of balance, having vision changes, and being sleepy often. All of these signs are indicators for possible stroke that they ignored. Mr. Jackson also drinks socially and doesn’t exercise, and these factors can also contributed to his stroke (Kolato, 2008)
Discharge Planning
It has been 10 days since his admission and Mr. Jackson is now out the ICU and on a step down surgical unit. His VS have remained stable HR 82, RR18, BP 130/90, Spo2 99%. Physical and occupational therapy has started for the patient. Also speech therapy has being initiated. The physician has written orders to be discharge to Brooks Rehabilitation.
Medications
• Tylenol 325mg Q4H (headache pain)
• Nimodipine 30mg (reduce the risk of delayed brain injury caused by insufficient blood flow)
• Dilantin 100mg three times a day (used to treat seizures related to a ruptured aneurysm.
• Norvasc 5mg daily (for hypertension)
Exercise
Patient will perform activity as tolerated. Mr. Jackson will continue physical, occupational, and speech therapy while at Brooks Rehab. No strenuous activities.
Diet
Patient is to remain on a low fat and low sodium