Question Answered step-by-step HOW TO DO ABCD ASSESSMENT USING THE BELOW INFORMATION Mr Jay Adams is a 68-year-old male who presented at the emergency department (ED) with his son. His son said while they were chatting at home, his dad started to have slurred speech, the right side of his face drooped, and he was unable to raise his right arm. His son immediately called the ambulance.  A head CT scan showed no signs of haemorrhage but hypodensity was apparent in the left middle cerebral artery. He was eligible for thrombolysis and was prescribed Alteplase 77 mg intravenously and transferred to a stroke unit.  The nurse administered 77 mg Alteplase IV. This was administered as an initial bolus of 7.7mg by IV injection and the remainder, 69.3 mg Alteplase, by IV infusion over 60 minutes.  The CT angiography confirmed there was an infarction in the middle cerebral artery (MCA) of the brain.  Mr Seah’s vital signs on arrival at the stroke unit were: Respiratory rate                                                                                  23 breaths per minute Heart rate                                                                                           87 beats per minute Oxygen Saturation                                                                              92% on room air Blood pressure                                                                                    172/91 mmHg Temperature                                                                                        37.2°CACVPU                                                                                              ConfusionGCS & GCS Pupil Score                                                                    E=3, V=4, M=5 Pupils equal and reacting to light  Weight:                                                                                               85.5 Kg  Past medical history of hypertension and high cholesterol. He is reported by his son not to take his medications regularly. He has no drug allergies. He smokes around 10 cigarettes a day and he drinks about 20 units of alcohol a week. He lives alone, his son who lives nearby visits most days.  Health Science Science Nursing UNKNOWN 247 Share QuestionEmailCopy link Comments (0)

Question Answered step-by-step HOW TO DO ABCD ASSESSMENT USING THE BELOW INFORMATION Mr Jay Adams is a 68-year-old male who presented at the emergency department (ED) with his son. His son said while they were chatting at home, his dad started to have slurred speech, the right side of his face drooped, and he was unable to raise his right arm. His son immediately called the ambulance.  A head CT scan showed no signs of haemorrhage but hypodensity was apparent in the left middle cerebral artery. He was eligible for thrombolysis and was prescribed Alteplase 77 mg intravenously and transferred to a stroke unit.  The nurse administered 77 mg Alteplase IV. This was administered as an initial bolus of 7.7mg by IV injection and the remainder, 69.3 mg Alteplase, by IV infusion over 60 minutes.  The CT angiography confirmed there was an infarction in the middle cerebral artery (MCA) of the brain.  Mr Seah’s vital signs on arrival at the stroke unit were: Respiratory rate                                                                                  23 breaths per minute Heart rate                                                                                           87 beats per minute Oxygen Saturation                                                                              92% on room air Blood pressure                                                                                    172/91 mmHg Temperature                                                                                        37.2°CACVPU                                                                                              ConfusionGCS & GCS Pupil Score                                                                    E=3, V=4, M=5 Pupils equal and reacting to light  Weight:                                                                                               85.5 Kg  Past medical history of hypertension and high cholesterol. He is reported by his son not to take his medications regularly. He has no drug allergies. He smokes around 10 cigarettes a day and he drinks about 20 units of alcohol a week. He lives alone, his son who lives nearby visits most days.  Health Science Science Nursing UNKNOWN 247 Share QuestionEmailCopy link Comments (0)