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HEMIPLEGIA

 PATIENT DATA :  Name : SHAUKAT ABDULHAG .  Age : 46 years old .  Sex : Male .  Nationality : Bangladeshi .

 Marital Status : Married .
 Education : Elementary School .  Occupation : Driver .  Religion : Muslim .

 Date & Time of Admission : 15/4/1428 H At 9:30 PM .  Telephone Number : 01-4936381 .  DIAGNOSIS ON ADMISSION : LF Hemiplegia and Hypertension .HEMIPLEGIA  Address : Riyadh / AL-Rawda area . .

No history of DM & cardiac disease .  Present History : The patient has weakness & numbness in the LF side ( LF hand & LF leg ) since 2 hours associated with drowness & headache aggravated with movement . Unknown history of allergy . .  Past History : The patient had Hypertension since 2 years .HEMIPLEGIA  HEALTH HISTORY :  Chief Complaint : 46 years old Bangladeshi male patient admitted to ER Complaining of weakness in left side since 2 hours .

• Anemia : No family history of anemia . • Diabetic :His father has DM disease & HTN .B : No family history of T. • Respiratory Problem : His mother has COPD .HEMIPLEGIA  Surgical History : No surgical history .  Family History : • Heart disease : No family history of heart disease .B . . • T. • Others : His older brother has HTN .

Gingivitis .  FACE : Normal . • Teeth : Dental caries . Texture within normal . Tartar . • Nose : Normal . • Eye : Erythema . . • Ear : No discharge . Weakness Eye movement . Redness .  NECK : No Neck vein distended . • Mouth : No facial palsy .HEMIPLEGIA  PHYSICAL EXAMINATION :  HEAD : Hair distribution .

 RESPIRATORY : HEMIPLEGIA • Dyspnea : Shortness of Breathing . • Cough : No Cough . Palpitation .  HEART : Tachycardia . • Sputum hemoptysis : No Sputum hemoptysis . . Bradycardia . Effort with breathing • Wheezing : No Wheezing . Pain .

Others : Weakness in left leg .  GENITOURINARY : Dysuria . Pain . Hard . Polyuria . .HEMIPLEGIA  ABDOMEN : Distended . RT LF Ascitis .  LEGS : Varicose Vein . Polydipsia . Swelling . Soft .

Others : Weakness . . Education Level : Elementary School .( in LF side ). Cognition .HEMIPLEGIA  NEUROLOGIC : Memory .( in LF side). Numbness Paresthesia .  PERSONAL & SOCIAL HISTORY : Alcoholic Caffeine : Not abuse Alcohol . Sleep Pattern : He has Sleep Pattern Distribution .

Bld. ABGs test . Check vital signs . HEPARIN . BS. II. MEDICAL MANAGEMENT : Brain CT scan ( Abnormal ) . .PT. V.CHEM. Blood test ( CBC. III. INVESTIGATION : Blood C/S CBC. IV. ATENOLOL .  • ASPIRIN.HEMIPLEGIA  I.BS ) .PTT. U/E.

Give Drug with food or after meal .MEDICATION : HEMIPLEGIA Route of Action Administr -ation BID Antipyretic Oral Analgesic Tabulates Antiplatelate AntiInflammatory . 2. . 3. Give Drug with full glass of water . Do not use aspirin that has a strong vinegar – like odor . Side Effects Headache Constipatio n Diarrhea Hepatitis Dyspepsia Name of Drugs ASPIRIN Dose 100 mg Nursing CONSIDERATION : 1.

. Do not give heparin by IM injection . Do not massage injection site . Provide for safety measures to prevent injury from bleeding . 2.HEMIPLEGIA MEDICATION : Name of Drugs HEPARIN Dose Route of Adminitr -ation Subcutaneous Action Side Effects 5000 IU Anticoagulant Hemorrhage Chills Fever Asthma Loss of hair NURSING CONSIDERATION : 1. 3.

.HEMIPLEGIA MEDICATION : Name of Drugs ATENOLOL Dose Route of Administration OD Oral Tabulate Action Side Effects 25 mg Antianginal Antihypertensive Dizziness Fatigue Gastric pain Tachycardia Bradycardia NURSING CONSIDERATION : 1. Taper drug gradually over 2 weeks with monitoring . Do not discontinue drug abruptly after chronic therapy . 2. Consult physician about withdrawing drug if is to undergo surgery . 3.

integrity . Check V\S Skin every 8 Hrs . 2.NURSING CARE PLAN Nursing Diagnosis Risk of Impaired Skin Integrity Related to Immobility . Change Objective : positioning The nurse every 4 Hrs . Maintaining 1. Do massage for him every Bed Sore . Goal Intervention Evaluation Goal met Evidenced by Skin integrity can seen . . 4 Hrs . will be able to prevent 3.

doctor order . Give him glass of Objective : Milk before sleep The patient time . Goal Intervention Evaluation Goal partial met Evidence by patient verbalize his sleeping time increase 1 Hour . Give him from 3-5 Hrs medication as . will be able to verbalize 3. Increase 1. . . Let him listen to Quraan before his sleep sleep time . 2.NURSING CARE PLAN Nursing Diagnosis Sleep pattern Disturbance Related to hospitalization as manifested by verbalization . time is increased 4. Check V\S every sleeping time 8 Hrs .