PATIENT WITH A STROKE An obese 78-year old male, Clark Kent, was admitted with weakness on the right side and slurred speech. His daughter assisted…

Question Answered step-by-step PATIENT WITH A STROKE An obese 78-year old male, Clark Kent, was admitted with weakness on the right side and slurred speech. His daughter assisted with the history because the patient had some difficulty responding verbally. He has had type 2 diabetes mellitus for 10 years, which he treats with an oral hypoglycemia, and had a myocardial infarction at age 75. He has no recent changes in vision but does wear reading glasses. He has good hearing and no headaches. He is right-handed. He was unable to stand when he awoke this morning. He tried to drink some water but had difficulty swallowing. He has had no loss of bowel or bladder control. He is divorced. An adult daughter and her two teenagers live with him. He is a retired construction worker; his hobbies are carpentry and watching television. Vital signs: BP 210/104 mm Hg, P 96 bpm, R 22, T 97 F orally. Height 6’1″, weight 285 lbs. Acknowledges he is in the hospital but is uncertain about day or date and time. Uses gestures to respond to some questions when he seems unable to find the right words. Pupils are equal and react to light. Ptosis of right eyelid is noted. Hand grips; voluntary movements; and reflexes of leg, arm, and hand are normal on left side but diminished on right side. Leans toward right side when not supported. Patient is admitted to Medical Unit with the following orders: 1. NPO until seen and evaluated by Speech Therapy 2. Start IVF of D5.9 NS 1 L at 125 mL/hr continuous 3. I & O every 4 hours 4. Vital Signs every 4 hours 5. Insert an Indwelling Foley Catheter 6. Enalapril 10 mg po daily 7. Amlodipine 5 mg po daily 8. Metformin 500 mg po BID with meals 9. Check blood sugar before meals and at bedtime and administer Humulin R based on the following parameters:150 – 200 = 2 Units201 – 250 = 4 U251 – 300 = 6 U301 – 350 = 8 U351 – 400 = 10 UCall MD if blood sugar is higher than 40010. Physical Therapy and Occupational Therapy evaluation              Discharge Form Patient Name: Clark Kent     Box 23.1 Checklist for Discharge Patient Education Cover these topics: • Telephone number of primary care provider; date and time of follow-up appointment• Diet instructions• Activity restrictions and exercise instructions• Medications and schedule for administration• Over-the-counter medications not to take while on current prescriptions• Instructions about bathing and hygiene• Dressing-change instructions• Instructions for any new prosthesis or brace• Signs and symptoms to report to the primary care provider• Any requirements for follow-up laboratory work Patient will be discharged to home with Home Health Care services.  Health Science Science Nursing NURS 2390 Share QuestionEmailCopy link Comments (0)