Medical Diagnosis: Hemorrhagic Stroke____ Student Name: _Saifullah_Patel___________

_____________________________________ Instructor: _Catherine_Feagin_____________

_____________________________________ Date:_August_30th_2017________________

Patient Initial:_RN______________________ Class: _N 101_________________________

NURSING CARE PLAN

NURSING DIAGNOSES PATIENT NURSING INTERVENTIONS RATIONALE PATIENT

GOALS/OBJECTIVES OUTCOMES/EVALUATION
Patient will have -No
Decreased Intracranial Signs of Stroke activity  Assess the Patient’s  A decreased LOC is the first During 8hrs shift there was
adaptive Capacity during 8hoir shift. neurologic status, including sign of increased intracranial no Signs of stroke. Good
level of consciousness. What Pressure. This change usually (see the patient goal)
What is the nursing Patient will not exhibit was the LOC? presents as increasing Patient shows Stable Blood
Absence of neurologic restlessness, irritability, or Pressure. (B/P maintained at
diagnosis R/T?
deficits.  Administer Medicine as agitation. The patient may ? what was his last B/P
prescribed (Levetricetam). become disoriented and
AEB what other Patient will maintain confused. Stable Neurologic Status
Write out the medication dose,
evidence is there, what base v/S Stable BP route, how often? What was the neurological
about his MRI, or CT  Monitor vital signs as  Medicine (Levetricetam) status
scan? needed. v/s should be reduces intracranial Pressure
Vital Signs monitored at least twice a and cerebral metabolism.
T: 98.4 shift. Prevents seizure activity
P: 83
R: 17  For the safety the frequent
BP: 134/76 assessment of BP is essential.
Elevated B/P increases
intracranial pressure and elevated
temp can result in seizure activity.