In a heart attack, a coronary artery is occluded; whereas in a stroke a cerebral brain artery is occluded. Asking for clarification while on-line always is appropriate. Ensure the right medication, right patient, right time, right dose, and right route. He states that his current pain feels just like the last cluster headache that he suffered. Of those patients, approximately 158,000 will die as a consequence of the stroke.
All Rights Reserved Click on the statement that best describes aClick on the statement that best describes a thrombotic stroke. Slide 56 Case Study Follow-Up Discussion This case study is continued from the beginning of the presentation. Definition False Term True or False For a patient appearing to have an allergic reaction, give 100% oxygen via nasal cannula. Slide 54 Point to Emphasize Dim the lights in the back of the ambulance for patient comfort. On arrival, the patient informs you that the slurred speech and weakness have resolved.
Slide 55 Talking Points Establish and maintain an adequate airway. They are often used to relieve pain. The intramuscular route injects medication directly into the muscle. However, you might suspect that this patient is having an ischemic stroke because he is still alert and responding. Her speech is severely slurred and her face is pulled and drooping on the right side.
However, time is critical, and these drugs must be administered within three hours from the first sign or symptom of the onset of the stroke. Since your assessment reveals no deficits, the patient insists on signing a refusal of treatment form. Record the vital signs and communicate your findings to the receiving medical facility. Hold the fluid bag higher than the drip chamber. An example of this type of medication would be epinephrine from an auto-injector. Class Activity Have pairs of students role play obtaining the history from a patient with a complaint of headache. The alteration may range from simple disorientation to complete unconsciousness in which the patient is not responsive, even to painful stimuli.
The primary assessment reveals no life threats. Family members state that he had a stroke in the past and has been bedridden since then, but has always been able to talk, until a few hours ago when his speech became garbled. Cluster headaches are similar to migraines because they are believed to have a vascular origin. The pain could be described as mild, moderate, or severe. Make sure the patient maintains his airway, and be prepared to suction should he develop any secretions. It is difficult for a person who has not experienced a migraine to appreciate the discomfort associated with the condition. Slide 57 Case Study Follow-Up Discussion, continued As you scan the scene, you notice nothing out of the ordinary.
Her SpO2 is 98 percent while on the nonrebreather mask. If the patient displays an altered mental status, follow the emergency care plan described on the next slide. Acknowledge that the Standards are broad, general statements. Due to this, the time of onset cannot be definitively determined. The oxygen flows at 15 liters per minute. His abdomen is distended and guarded. Anaphylaxis affects major systems such as the circulatory and respiratory systems and, if untreated, can cause death.
The brain is very sensitive to low levels of sugar,and this is commonly a cause of altered mental status. If there is more than one patient at the scene, suspect a hazardous gas or poison may be causing the illness and note any unusual odors. Is this the same patient medical direction approved a medication order for? Your assessment reveals a pulsating mass to the left of his umbilicus. If spine injury is not suspected, place the patient in a lateral recumbent position. Transport any patient with an altered mental status to a medical facility for further evaluation.
Some patients may refuse emergency care and transportation because the signs and symptoms disappear. The pain is usually excruciating and found on only one side of the head or face in the temporal region or around the eye. The parietal peritoneum is typically the first abdominal layer that becomes inflamed or irritated. When you arrive at the scene and assess the man, you find that he is unresponsive, has severely labored breathing, and has hives over his entiretrunk. These patients may not be able to maintain their own airway, so consider inserting an adjunct airway. Fill the chamber to the marker line approximately one-third full.