Stroke Patient History

Improved Essays
Personal and Medical History of a Stroke Patient

This week part of my clinical experience involved taking care of a patient 51 year old female named L.B. who has a history of hypertension, hyperlipidemia, and who had a stroke last December. She was hosting a christmas party at home when she had a stroke. She was drinking and socializing with her family. At first her son-in-law thought she just had too much to drink because she wasn’t “making sense” so he helped back to her bed to “sleep it off”. It was only a when her daughter checked on her that the family realized that something was off with her when she noticed facial drooping and one arm couldn’t move. She was immediately rushed to Parkland where she was seen and admitted after CT showed she had a stroke. She had to undergo rehabilitation after discharge. Due to insurance changes, she has stopped going to therapy more than a month ago. She is
…show more content…
Other possible medical complications need to be addressed such as fever with antipyretics, shortness of breath with supplemental oxygen, IV fluid administration for hydration. Although streptokinase use has been beneficial for acute MI patient, it has shown to pose major risk for stroke patients which may lead to intracranial hemorrhage and death and so do fibrinolytic. Thus for patients who cannot make use of fibrinolytic therapy, the current guidelines suggest permitting moderate hypertension in individuals with acute ischemic stroke since they tend to undergo spontaneous reduction in blood pressure within one day without treatment (American Heart Association, 2016). On the other hand, aspirin therapy has shown its benefits in reduction of recurrent stroke so much so that AHA/ASA guidelines advice providers in prescribing aspirin, 325 mg orally, within 1-2 days of ischemic stroke onset since the International Stroke Trial and the Chinese Acute Stroke Trial or CAST has shown its positive benefit (He et al, 2014). Another antiplatelet medication

Related Documents

  • Improved Essays

    Systolic Heart Failure

    • 1625 Words
    • 7 Pages

    Systolic heart failure is when the ejection fraction is decreased, this leaves an unusual volume of blood in the left ventricle. This drug helps people with systolic heart failure feel better. This helps the heart stay in good conditions if its not working in good conditions because of systolic heart failure. In the Drugs articles “Know more be sure” it claims, Altace treats high blood pressure, also heart failure after a heart attack. Another word for Altace is Ramipril.…

    • 1625 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Essay On My Grandmother

    • 1873 Words
    • 7 Pages

    My family expressed all of these phases freely. My mother was extremely angry with my uncle when she walked passed him sleeping in the living room to find their mother deceased in the dining room. My uncle felt extremely guilty because he had taken two sleeping pills before going to sleep that night. My mom felt guilty for going to the store so late, she stated “if [I] was home, [my] mom would have lived longer”. I blamed my uncle for being asleep and then myself for not waking up when the alarm went off.…

    • 1873 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    No one knew until that night of Monday, September 2, 2006, Labor Day. At home, I was acting like I had the 24 hour flu, I was sick and miserable, I didn't eat or drink water for a while. My mom wanted to take me in the next day, but I am glad my dad didn't wait till the next day. That night of September 2, 2006 I was downstairs laying on the ground not moving that much, which was odd, because I was a really hyper girl. Then my dad came downstairs and pick me up off the ground and looked into my eyes.…

    • 689 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Narrative Essay On Alcohol

    • 1388 Words
    • 6 Pages

    I got home and my dad was sleeping. My mom cover for me. The next day, my brother started telling me how I’ve drank to hide my problems and how I felt alone. My mom left so bad she never noticed. My brother told me I cried all night telling him my problems and why I do the things I do.…

    • 1388 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Selfish Bil Short Story

    • 837 Words
    • 4 Pages

    They were all yelling at each other, and Bil suggested placing his mother in the care of Hospice, even though she repeatedly said that she wanted to return home and start physical therapy. Since Louise had signed the position of her power of attorney over to Cathy, she had no say in what happened to her. So, frightened about the thought of her mother-in-law being sent to Hospice, after reading horror stories online, about people who die two days after arriving there, Charlie’s wife, Amber, offered to take unpaid leave from work to stay home and care for her. Being a registered nurse, Amber thought this would be perfect. However, as soon as she said that, Bil jumped up and started cursing at her.…

    • 837 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The doctors said that she just had the flu and it would fly over in a week or so. She tried to live life like normal, but she kept getting sicker. She hated going into the doctors. She was sick for over six months on and off. She kept telling everyone that she would be fine and that was not true.…

    • 1657 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    They couldn't locate her for three days, due to the fact she was getting high with her dealer. My sisters and i remained at my neighbors house until my mother actually did come home from “work”. She was a nurse on call at a hospital. This was a major way she had contact with her drug of choice , Vicodin. My mother lost her job when i was about 7 years old and she needed a way to make money without actually working since they basically told her she wouldn't be able to work…

    • 719 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    I greeted her back in what was most likely horribly broken French, embarrassed to be caught at an emotional situation. After that we quickly composed ourselves and I went back to class. Roughly two months after this ordeal, Rani was hospitalized again. Her dad, who was emotionally and possibly physically abusive, had provoked her verbally in a way that I do not feel comfortable disclosing, and she had locked herself in her room and threatened to jump out the window. Her family got into her room, and made her go to the hospital, where she stayed on suicide watch for a week.…

    • 1118 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    Down Syndrome Case Study

    • 2026 Words
    • 9 Pages

    The doctor gave the women and her husband options including the option to terminating the pregnancy. The women refuse to have an abortion the baby. After six months later her child was born and she realized there was something wrong with her child. In the end of the labor her child did have down syndrome including heart defect. For the next several months later after many visits from the hospital they decide to have their child’s heart be repair.…

    • 2026 Words
    • 9 Pages
    Great Essays
  • Improved Essays

    Adae ended up paralyzed due to the negligence of these hospitals and ended up settling for $2.3 million but the fact is now because of the lack of action of the healthcare employee she is now paralyzed. Cynthia on June 28, 2006 was taken into the hospital with complaints of right shoulder pain, limited motion, cough, and a fever. (Crow 2013) The doctors believed Adae to have an infection or thyroid abnormality (Crow 2013). The doctors order blood test for Cynthia and were performed but before any results were given she was discharged the next day. In the results in was shown that she was suffering from and infection and the doctors were made aware but did not relay this information to Cynthia and causing her further pain and anguish as well as delayed treatment.…

    • 714 Words
    • 3 Pages
    Improved Essays