Ms Jen Bogart (JEN)
HIgh school teacher
Her partner is Steve
Collecting Jen's cues
Ischaemic Stroke 2018
Lisinorpil 10mg
Jen's doctor added 2 new medications
Warfarin 5 mg daily
Stop taking warfarin, so can conceived, but Jen not consult with her doctor
Fully recovered
Aspirin 100mg daily
PRN (as required) Paracetamol 1g
4 hourly, max dose 4g in 24 hours
Processing Jen's information
Jen's situation
Female, 34 yo
Presented to Emergency Department (ED)
Ischaemic Cerebrovascular Accident
(CVA)
Difficulty speaking
Jen's mouth dropped to Right (R) side
Unable to move R) limbs
Admitted to Stroke unit
Transferred to Stroke Rehabilitation Centre
Walking without assistance
Weakness R) arm
Dysarthria
Physio Therapist
Speech Therapist
Blood Pressure: 120/60 mm Hg
Saturation is 98% on Room Air
Respiratory Rate is 18
Heart Rate is 80 beats per minute
Temperature is 36.4 Celcius
Jen alert and no complain of pain at rest and movement
Blood pressure under control, will minimise the risk to have another stroke
Thrombolytic Therapy (Intravenous Alteplase)
To dissolve acute blood clots
INR: 1
Hypertension (HTN)
Legend:
Consider Patient (Ms Bogart) Situation
Colect Cues
process information
Identify problems
The National of Health Stroke (NIH) score: 2
1. Jen's R) arm drifted down before full 10 secs (Motor Arm)
2. Jen's speech was slurred when reading the words (Dysarthria)
Identifying Jen's problems
Physical health problems
might affect with her activities with daily living (ADL's), messy eating with one hand, sometimes people difficult to understand what she says