Question

In: Nursing

Mr. Franklin is a 60-year-old patient with a history of a thrombotic cerebrovascular accident two years ago.

Description

Mr. Franklin is a 60-year-old patient with a history of a thrombotic cerebrovascular accident two years ago. After the stroke he started with seizure attacks. He has been suffering from hypertension for the last ten years and ulcerative colitis since last year. He currently takes lisinopril, hydrochlorothiazide, aspirin, carbamazepine, and a low dose of prednisone.

Mr. Franklin has been suffering from epigastric pain, sensation of fullness, and occasional nausea for the last six months. This time, he was brought to the ER because, while he was talking to his son, he had a dizzy spell and fell to the floor. He is conscious and is complaining of severe epigastric pain. He began with mild abdominal pain two days after he started taking a new cycle of prednisone for his colitis, around seven days ago. The pain increases when he eats or drinks something. He is also complaining of suffering from pyrosis, malaise, and dizziness, and he has noticed that his feces are dark.

The patient was a heavy alcohol drinker until he had the stroke. He is a cigarette smoker since he was 20 years old. His mother suffered from Alzheimer's disease and died of colon cancer, and his father died of cirrhosis of the liver.

  • Abdomen: Pain on palpation on epigastric region

  • SOMA: Right hemiplegia and hyperreflexia

  • Integumentary system: Pallor, diaphoresis, coldness

  • Cardiovascular system: Tachycardia. Blood pressure 70/50 mmHg. Radial pulse 110.

  • Digestive system: Tenderness of epigastric region. Rectal exam showed melena.

  • Neurologic system: The patient is conscious and well oriented to time, place, and person. Right hemiplegia and hyperreflexia.

answer the following

  1. Is it probable that he has a new cerebrovascular accident? Explain.

  2. What risk factors does Mr. Franklin have of suffering from dementia in the future

Solutions

Expert Solution

Me.Franklin has history of thrombotic cerebrovascular accident.He also has hypertension history that is a risk factor for cerebrovascular accident.He also has ulcerative colitis history that causes complications like systemic arterial and venous thromboembolism that can lead to cerebrovascular accident.He is taking Prednisone that also has risk of cerebrovascular accident. Recurrence of cerebrovascular accident in the presence of all these risk factor is coomon .He also had a dizzy spell and fall on the floor that indicates that it is probable to have new cerebrovascular accident.

Risk factors for dementia are following:

a- age - age is very important risk factor because it is common after 50-60 yrs of age . Me.Franklin is of 60 years old , so it a risk factor for him .

b-family history . Mr.Franklin mother is suffered from Alzheimer's dis.

c-alcohol consumption

d-smoking

e- condition that can cause atherosclerosis.

please like my answer if you have satisfy with myself it is very precious to me thank you

Nightingale answered 2 years ago
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