I.

Introduction

Cerebro vascular accident-It is characterized by a relatively abrupt onset of persisting neurological symptoms due to the destruction of brain tissue (infarction) cause by ischemia (thrombus or embolism) or hemorrhage resulting from disorders in blood vessels that supply the brain. Also called stroke Stroke any sudden onset focal neurological deficit Causes: Intracerebral hemmorhage (rupture of a blood vessel in the pia mater or brain Emboli (blood clots) Atherosclerosis (formation

Risk Factor: 1.Hypertension leading risk factor for coronary heart disease and stroke treatable and can be controlled. 2.Modifiable by change in lifestyle a. smoking b.elevated serum cholesterol c. obesity d. heart disease 3.Modifiable by Medical mean

a.Transient Ischemic Attack b.Asymptomatic carotid bruit c. Diabetes Mellitus d.Increased blood viscosity

II.Personal Data Name of patient: MR.E Age: 47 years old Gender: Male Address: Talumpok East, Batangas City Birth date: June 09,1963 Birth place: Talumpok East, Batangas City Occupation: Buisness Man Religion: Roman Catholic Civil Status: Married

Nationality: Filipino Admitting Diagnosis: To consider cerebrovascular accident probably secondary to bleed Final Diagnosis: To consider cerebrovascular accident probably secondary to bleed Resident on duty: Dra.Clet Attending physician: Dr. Geron

Introduction Objectives A.NURSING HEALTH HISTORY PERSONAL DATA Our patient initial is B.L. He is 73 years old. He was born on June 5, 1935. He currently residing at 9th Ave., Caloocan City. He is Filipino, pure Roman Catholic and married with 5 children. Educational attainment was high school graduate. Before, he was a painter but now his sons and daughters support him. Our source of reliability of information is his eldest child and his 3rd child. And the date of interviewed was May 15, 2009. CHIEF COMPLAINT Nahihilo ako. As stated HISTORY OF PRESENT ILLNESS Few hours prior to admission, the patient experienced dizziness and the patient was rushed to the hospital because his son saw him that he fell down in the ground. The patient was conscious but not responsive. He was admitted May 8, 2009 at 3:30 P.M. with vital sign of Temp: 36.8C, PR: 90 bpm, RR: 21 cpm, BP: 130/90 mmHg. The patient was diagnosed with post C.V.A.

DRUGS

NAME OF DRUGS GENERIC NAME: Mannitol

CLASSIFICATION INDICATION AND ACTION

CONTRAINDICATION ADVERSE REACTION

NURSING RESPONSIBILITIES

plasma. -Contraindicated in patients hypersensitive to drug -Contraindicated in patients with

X. COURSE IN THE WARD ADMISSION DAY July 7, 2009 Emergency Room At 08:50 pm, a 49- year old female patient was admitted with history of slurred speach and body weakness few hours prior to admission. She was assessed to have a BP of 150/100 mmHg. She was then seen and examined by Dr. Paguirigan with orders made and carried out by the nurse on duty. A request of CXR, ECG, CBS, U/A, BUN, Total Cholesterol, Createnin and FBS was sent to the Laboratory and for a

Cranial CT Scan. IFC was inserted aseptically and connected to urine bag. An IVF of PNSS 1L x 12 was also inserted at left hand. Stat medications were given. An ECG was done immediately. At 9:35 pm, she was sent to the medical ward per wheelchair with same IVF on. At 9:40 pm, patient was received at the medical ward per wheelchair with an IVF of same. She was placed on bed comfortable and was assessed to be conscious, weak and with slurred speech with a v/s of q 1 MEDICATIONS INTRAVENOUS FLUIDS Catapres 75mg SL q8 x BP >150/100 Captopril 25mg tab BID Manitol 100cc IV now then q8 Citicholine 2 drops BID PNSS 1L x 12 Attending Physician: Dr. Paguirigan