Ischemic Stroke Of A Patient With Hypercholesterolemia 1

Cerebral vascular accident or a stroke is the destruction of brain substance, resulting from thrombosis, intracranial hemorrhage, or embolism, which causes vascular insufficiency. In addition, it is an area of the brain denied blood and oxygen that is required and damage is done to a part of the cells. The effect of the patient depends upon where the damage occurs and the severity of the stroke.

Her current prescription medications include a 225 mg tablet of Venlafaxine HCL once daily for anxiety related dizziness, and a 20 mg tablet of Atorvastatin for high cholesterol. She drinks alcohol socially, approximately two 12 ounce beers a day. She is a former smoker of one pack of cigarettes a day for nearly forty years. Her quite date was September, 2011. She denies the use of street drugs.

groups of her lower extremities bilaterally. Sensory exam is normal to pin prick and light touch

Strokes are caused by pathophysiological changes. The two major mechanisms of stroke consist of ischemia and haemorrhage. Ischemia is when there is no oxygen or not, merely enough oxygen to fuel the tissue level in the body. Haemorrhage in the brain, causing strokes can be due to non-traumatic intracerebral haemorrhage (Shah, MD, n.d.) (see appendix 1). This essay will further discuss the implications of strokes on a cellular, organ and system level. Explain the clinical presentation of the signs and symptoms of strokes and how the condition will be managed by a paramedic.

A review of her medical record indicates that she has a history of functional decline, dementia, weakness, MRSA, cognitive communication deficit, presence of right artificial hip joint and HTN.

Blood pressure -138/88, HR 71, Lung sounds –clear, temperature 98.8 F, radial pulse and pedal pulses +1 bi-laterally, normoactive bowel sounds. No history of smoking, drugs, alcohol use or diabetes; takes no daily medications. Surgical history: Hernia surgery September 2016 and cataract surgery September 2013. Moderately active, walks every day, sometime incorporating hand weights. Patient presents with minimal trembling unilaterally, (left side) when fingers stretched out, reports movements have been slower than normal. Patient’s wife reports “He’s been eating more slowly and it has been taking longer for him to get dressed in the morning.”. Upon examination it was determined that patient has reduced arm swing, slight stiffness in neck, difficulty rising from sitting position in the chair, masked facial features and deteriorated balance. No signs or symptoms of stroke.

A review of her medical records indicates that she has not had any significant health events, such as falls or hospitalization since her last visit. She suffers from chronic stable hypothyroid, chronic DM which is mange with medication and chronic neuropathy.

She was referred to, see a neurology doctor. Client reported she is currently seeing Dr. Lempert/Neurology.

It is “a sudden loss of function resulting from disruption of the blood supply to a part of a brain” (Hincle & Cheever, 2014). The type of stroke Patient S experienced was assumed to be from hyperlipidemia. An atherosclerotic plaque can form in the large blood vessels in the brain. When the plaque become big enough, it can rupture or a small bit may break off and flow into small arteries, which may block the smaller artery. If the artery is occluded, blood cannot flow to certain parts of the brain and an ischemic stroke can occur. Hypertension is a major risk for strokes as well as atrial fibrillation. These diseases increase the risk of an emboli or plaque

Her vital signs are normal. Weight is 114 pounds. The visual acuity is 20/20 both eyes. The eye exam shows that the left eye is normal including her fundus. The right eye shows that her conjunctivae

Clinical Scenario: Adult female accountant complaints of right-sided lateral upper extremity numbness and tingling, pain, weakness, and dropping things held in right hand.

Stroke previously known as Cerebrovascular accident is well-defined as ‘an abrupt cessation of cerebral circulation in one or more of the blood vessels distributing the brain. Due to the interruption or diminish of oxygen supply causes serious damage or necrosis in the brain tissues (Jauch, Kissella & Stettler, 2005). There is a presence of one or more symptoms such as weakness or numbness or paralysis of the face, arm or leg, difficulty speaking or swallowing, dizziness, loss of balance, loss of vision, sudden blurring or decreased vision in one or both eyes and headache. Stoke is categorised into two types, Ischaemic and haemorrhagic

parietal, and posterior temporal lobes. Proximal atherosclerotic stenosis of the vertebral or basilar artery is a course

This patients condition is complex due to central and peripheral nervous system sensitization observed clinically and confirmed by Dr. Beth Hogans of neurology and pain management.

In neurological examination he was presented with central VII nerve paresis, motor dysphasia, left arm palsy and left leg paresis.