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Cerebrovascular accident

Cerebrovascular accident

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Published by caloi

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Published by: caloi on Feb 21, 2009
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07/03/2013

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1.Client’s Daily Progress Chart (From admission to discharge)

Days

01-27-09
(Admission)

01-28-09

01-29-09

01-30-09

01-31-09

Nursing Problems:

1.)Acute Pain
2.)Impaired
cerebral tissue
perfusion
3.)Impaired
physical
mobility
4.)Activity
Intolerance
5.)Impaired verbal
and/or written
communication
6.)Risk for
Aspiration
7.)Risk for
impaired skin
integrity

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8.)Risk for
deficient fluid
volume
9.)Risk for
imbalanced
nutrition: less
than body
requirements
10.)Risk for
Infection
11.)Risk for Injury
12.)Self care
Deficit

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Vital Signs:

Temperature

Pulse Rate

Respiratory rate

Blood Pressure

36.2c

84 bpm

18 bpm

170/100
mmHg

36.5c

88 bpm

22 mmHg

140/50
mmHg

37c

76 bpm

19 bpm

180/90
mmHg

36c

71 bpm

17 bpm

180/90
mmHg

36c

69 bpm

18 pbm

170/90
mmHG

Diagnostics
Procedures:

1.)CXR APL
2.)Fecalysis
3.)Urinalysis
4.)Potassium K
5.)CBC

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Drugs:

1.Piracetam
2.Captopril
3.Ranitidine
4.Simvastatin
5.Metoprolol
6.Ketosteril
7.FeSo4
8.Hydralazine

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D/C

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Medical
managements:

1.D5 LRS 1L
2.D5 0.3 NaCl
500cc

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Diet:

1.NPO
2.Soft Diet

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Activity/Exercises:

1.High Back Rest

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