Presentation Year Hispanic Assignment Help: How to Answer This Question

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Original Question

Presentation 80-year-old Hispanic woman Past Medical History: – Hypertension (controlled) Medications: – Atenolol 50 mg PO bid – Clonidine 0.1 mg PO bid – Aspirin 325 mg PO qd History & Symptoms: • Patient’s husband witnessed her develop difficulty ambulating at 9:00 am, and immediately called 911 • Patient was lethargic, but oriented and understood questions upon arrival at a JC-certified stroke center ED • When asked to stand, the patient could not do so without a 2-person assist NIHSS Score: Symptom NIHSS score Symptom NIHSS score Alert & oriented 0 Able to follow commands 0 Left arm, some effort against gravity 1 Mild left leg drift/weakness 1 Sensation & proprioception intact 0 Symmetric reflexes 0 Left visual & tactile extinction 2 TOTAL NIHSS 4 Physical exam & lab results Image transcription text BP = 150/95 mm Hg INR = 1.1 Pulse = regular . PT = 19 secs 12-lead ECG = no acute change . PTT = 33 secs General exam =… Show more CT Scan Result: Chronic small vessel ischemic changes; No early ischemic changes noted Diagnosis & Treatment considerations Diagnosis: Probable right MCA ischemic stroke causing left side weakness, visual and tactile extinction -INR= 1.1 – PTT = 33 secs – Blood glucose = 100 mg/dL BP = 155/90 mm Hg (on medication) Left arm and leg weakness has worsened Total NIHSS = 6 (up from 4 as assessed 45 minutes ago) Image transcription text Treatment: 9:. Just under 2 hrs have elapsed since symptom onset *3 t-PA administered 2 hours and 10 mins after sympto… Show more Image transcription text Treatment outcome & Follow-up v’ The patient is stable and transferred to the ICU v” She is monitored closely due to … Show more List 2-3 priorities for the patient( priorities at the time of discharge)

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