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Neurology Signs and Managements/Disposition 3 Drug study FDAR charting with nursing diagnosis
symptoms
 CVA  Hypertension  ICU admission  Thrombolytics July 3, 2019 6:00AM
hemorrhagic  Neurologic  E-intubation - R-tpa F – Admission assessment impaired gas exchange
deficit  NGT/IFC insertion - streptokinase secondary to poor tissue perfusion
- hemianopsia  CT SCAN w/o contrast - urokinase
- diplopia D - RR < 5- 8bpm -------------
 MRI  Diuretics
 Motor deficit
 Blood chemistry  Proton Pump
- BP 200/100 ---------------
- hemiparesis - 02 sat 80%
- hemiplegia  Craniotomy inhibitors
- GCS 6
 Chest Xray  Anticoagulants M – 2/6
- ataxia
- dysarthria  ECG  Antiplatelets V – 2/5
- dysphagia  Bleeding Studies  NSAID’s E – 2/4
 Sensory A
deficit 7:00am - manual bagging rendered hooked to 02 @
- paresthesia 15LPM
7:05am - venoclysis started PNSS 1L at KVO with
 Verbal
gauge 20 cannula
deficits
7:10 am - E-intubation done STAT with consent
- aphasia
secured at level 18
 Respiratory 7:15am - suctioned secretion
arrest 7:20am - diuretics given
 Exploding 7:25am - CT scan done STAT
headache 7:30am - Rtpa given
 Decrease LOC 7:35am - NGT inserted aseptically with consent
 Paralysis secured
7:40 am - IFC inserted aseptically with consent
secured
7:45am - blood chemistry requested
7:50am - ECG done
7:55am - chest xray done
8:00am
R – 02 sat increses to 95%
- endorse to ICU for continuity of care

J.JUMALON RN, MSN

0526975
Name: _________________________