Mrs. Matthews is a 63-year-old patient who has been admitted for CVA with left-sided hemiparesis. She...

Mrs. Matthews is a 63-year-old patient who has been admitted for CVA with left-sided hemiparesis. She has a history of hypertension and hyperlipidemia. The doctor informs her family she had an ischemic stroke and he doesn’t know how much function of her left side she’ll regain and then gets called to another emergency and leaves you with the family.

2. Matthew’s had an ischemic stroke. Her family understands that her brain was injured because of a blood clot. They ask where the clot came from and if there are more. What education would you provide for them?

3. Her family asks you why she can’t move the only left side of her body but the right side of her body is just fine. How do you explain this to them?

4. What labs and additional tests would you expect to have ordered? Would they be high or low?

5. You are preparing to discharge Mrs. Matthews now that she is stable. She will leave the hospital and go to a long term rehabilitation facility to work on gaining the function of her left side. She is scared that she will have another stroke. What patient education will you provide to Mrs. Matthews in terms of preventing another CVA?

Solutions

Expert Solution

Ischemic stroke is one of the common stroke due to blood clot in the brain which prevents the flow of blood and oxygen to the brain.These blood clots are usually forms in the narrowed arteries as a result of atherosclerosis.The blood clots forms in the heart or major arteries and then dislodges into narrow arteries in the brain.

In order to find out the clot, ECG, venogram and CT scan can be performed.

3. Her family asks you why she can’t move the only left side of her body but the right side of her body is just fine. How do you explain this to them?

Unable to move one side of the body is called hemiplegia.This is one of the symptoms of stroke.This is due to lack of blood supply to the one side of the brain.Usually,if the right side of the brain affect left side of the body.

4. What labs and additional tests would you expect to have ordered? Would they be high or low?

Blood sugar to differentiate from hypoglycemia.

Blood test for cholesterol and clotting factors.

ECG to check abnormal heart rhythm.

Cranial CT scan to find out the brain tissue death such as hemorrhage, brain tumor.

MRI to check where the clot started.

Echocardiogram to find out the clot in the heart.

Nightingale answered 1 year ago

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