“A 59-year-old Hispanic man presented with right upper and lower…

Question Answered step-by-step “A 59-year-old Hispanic man presented with right upper and lower… “A 59-year-old Hispanic man presented with right upper and lower extremity weakness, associated with facial drop and slurred speech starting 2 hours before the presentation. He denied visual disturbance, headache, chest pain, palpitations, dyspnea, dysphagia, fever, dizziness, loss of consciousness, bowel or urinary incontinence, or trauma. His medical history was significant for uncontrolled type 2 diabetes mellitus, hypertension, hyperlipidemia, and benign prostatic hypertrophy. Social history included cigarette smoking (1 pack per day for 20 years) and alcohol intake of 3 to 4 beers daily. Family history was not significant, and he did not remember his medications. In the emergency department, his vital signs were stable. His physical examination was remarkable for right-sided facial droop, dysarthria, and right-sided hemiplegia. The rest of the examination findings were insignificant. His GCS was calculated as 9. Initial CT angiogram of head and neck reported no acute intracranial findings. The neurology team was consulted, and intravenous recombinant tissue plasminogen activator (t-PA) was administered along with high-intensity statin therapy. The patient was admitted to the intensive care unit where his hemodynamics were monitored for 24 hours and later transferred to the telemetry unit. MRI of the head revealed an acute 1.7-cm infarct of the left periventricular white matter and posterior left basal ganglia.”  — Patient Management in the Telemetry/Cardiac Step-Down Unit: A Case-Based Approach by Muhammad Saad, Manoj Bhandari, Timothy J. VittorioPlease relate your answers to the above case: Why use tPA? Which type of stroke? Risk factors for this type of stroke in this patient? S/S support the diagnosis of this stroke? “He denied visual disturbance, headache, chest pain, palpitations, dyspnea, dysphagia, fever, dizziness, loss of consciousness, bowel or urinary incontinence, or trauma. ” But why was his GCS still calculated as 9? (Hint:  What has been evaluated under the GCS test? What could bring down the GCS score in this patient? Under this situation, what would be your expectation on his recovery? )Why do you want to know if the patient has “visual disturbance, headache, chest pain, palpitations, dyspnea, dysphagia, fever, dizziness, loss of consciousness, bowel or urinary incontinence, or trauma”.Based on the following statement “MRI of the head revealed an acute 1.7-cm infarct of the left periventricular white matter and posterior left basal ganglia.”  Which side of the patient’s body would be affected by this statement? In the long term what would be the complications of stroke? Please give all reasonable answers you can think of. Be mindful about ALL organ systems…… (no fixed answers here…..) Health Science Science Nursing NURS C Share QuestionEmailCopy link Comments (0)