UST GRADUATE SCHOOL

ADVANCED MEDICAL-SURGICAL NURSING I

AY 2014-2015
Asso. Prof. I.S.TIONKO
CASE SCENARIO: NEURO
55y/o, male office worker has a history of HTN which ha !ee" treate with
hyrochlorothia#ie, whe" he s$ffere a stroke $ri"% a" altercatio" with a "ei%h!or& He
is also a k"ow" ia!etic, Ty'e ( a" is o" N)H i"s$li" co*era%e e*ery mor"i"%& O"
amissio" to the ER of a "ear!y hos'ital, he was comatose& +ollowi"% a !rai" sca",
which showe a lar%e hemis'here lesio", a" a s'i"al '$"ct$re, which re*eale
i"crease i"tracra"ial 'ress$re a" !looy s'i"al fl$i, the clie"t was ia%"ose as
ha*i"% s$ffere a" i"tracere!ral hemorrha%e& +ollowi"% ami"istratio" of ,-. ml
/a""itol sol$tio" I0, he slowly re%ai"e co"scio$s"ess a" was fo$" to ha*e ri%ht
hemi'le%ia a" e1'ressi*e a'hasia&
INSTRUCTIONS
(& Ie"tify the !"#r$%$& %ss'"s 2at least 34 relate to 'atho'hysiolo%y 2+oc$s o" C04 that yo$
ca" raw o$t from this case&
-& )re'are to isc$ss these lear"i"% iss$es with the class o" T$esay, Se'tem!er 5., -.(,
after the C0 case sce"ario isc$ssio"&
5& +rom yo$r 6o$r"al reai"%s, what ca" yo$ raw o$t as a" ie"tifie 'atho'hysiolo%ic
co"tro*ersial iss$e relate to "e$rolo%ical care7 )ro*ie a short isc$ssio" !ase o" yo$r
6o$r"al reso$rces&
5& 8o$r writte" a"swer to 9 ( : 5 will !e s$!mitte "e1t T$esay;s class& Ty'e i" A, si#e, arial
"arrow, fo"t ((&