Predisposing Factors Precipitating Factors

LEGEND
- Age 59 - Diet (Fried Foods)
Disease Process - Gender - Hypertension
- Race (Asian) - High Total Cholesterol
Signs/Symptoms - High LDL

Diagnostic Test
Formation of plaque deposit
Nursing Management

Disease Narrowing of blood vessel

Process\
\
Complications Occlusion of major blood
vessel Left Main Coronary Artery (LMCA)
Diagnostic Test (09/11/23)
• CT Scan Brain Plain Atherosclerosis High LDL 132.60
• 2D Echo
High Total Cholesterol 231
Increased pressure in blood
vessel, Increased blood pressure

Thrombotic Left Parietal Lobe

Signs/Symptoms thrombolysis
• Right-Sided Weakness
• Weak in appearance
Decreased oxygen supply in Inability to control the
• Limited range of motion Sensory loss
the bloodstream right side of the body

Impaired Physical Mobility related to Signs/Symptoms

Ineffective cerebral tissue decreased activity intolerance
perfusion related to interruption • Slurred speech
Ischemic Stroke
of blood flow
• Drooping of the right
side face
Hypertensive
•
Cerebrovascular
Disease Impaired verbal communication
related to loss of facial or oral
muscle tone control

Signs/Symptoms
Nursing Management
• Weak in appearance
• Establish rapport. • Limited range of motion Nursing Management
• Monitor vital and cognitive signs, watching for changes • Restlessness
in blood pressure, heart, and respiratory rate • Difficulty turning • Provide alternative methods of communication, like pictures
• Promote comfort measures. • Decrease gross motor skills or visual cues, gestures or demonstration.
• Monitor and assess for neurologic functions (GCS) • Anticipate and provide for patient’s needs.
• Exhibit positive caring in routine activities • Speak in normal tones and avoid talking too fast. Give patient
• Telmisartan 40 mg + Amlodipine 5mg (TWYNSTA) 1 tab ample time to respond.
OD as prescribed by the physician. • Encourage family members and visitors to persist efforts to
• Nicardipine 1mg I/v q6hrs PRN as prescribed by the Nursing Management communicate with the patient.
physician.
• Encourage family intersection with each other.
• Dexamethasone 5mg IV q8hrs as prescribed by the physician. • Establish rapport.
• Provide thorough teaching and complete aftercare instructions
• Monitor vital and cognitive signs, watching for changes in blood
for the client.
pressure, heart, respiratory rates
• Observe the affected side for color, edema, or other signs of
compromised circulation.
• Assess clients development level, motor skills, ease and capability
of movement, posture, and gait.
• Instruct caregiver in bed capabilities (e.g., mobility functions and
set positions).
Ascertain that a dependent client is placed in the best bed for the
situation.