A. Create 2 nursing care plans based on the case scenario that needs to be prioritized using ADPIE.A-ssessment, D-iagnosis, P-lanning/Goal, Interventions with Rationale, and E-valuation This 50-year-old female has not seen a doctor in a number of years and reports headaches over the past 2 weeks, which she treated athome with ibuprofen. The night of admission, she went to bed but woke around midnight to get some water and ibuprofen, and fell. Herhusband heard her fall and when he arrived at her side he noted she was not moving her left side and was confused and disoriented. She alsohad garbled speech and was complaining of headache by holding her head and moaning. The husband called 911 and EMS arrivedapproximately 5 to 10 minutes after the fall. The paramedics stated that she vomited on way to the hospital and again in the emergencydepartment (ED). Her blood pressure on way was 208 over palpable, she was in sinus rhythm, and her blood sugar was 91. The EMS assessmentalso noted confusion, garbled speech, and absence of movement on her left side to painful stimuli. EMS called the ED on way to initiate a"stroke alert." The estimated time elapsed from the fall to the patient's arrival in the ED is 15 to 20 minutes.Due to the rapid decline of this patient's neurological status, the patient was intubated in the ED. IVF's with Normal Saline solutioninitiated. Her blood pressure was severely elevated on admission so intravenous hydralazine was administered. Citicoline 1gm intravenously asloading dose started.Further physical examination and diagnostic evaluation was done. Stat ECG shows normal sinus rhythm. A stat non-contrast computedtomography (CT) scan of head and CT angiography followed. The patient's CT scan shows a large 6-cm right-sided intraparenchymalhemorrhage with a 16-mm leftward midline shift. While CT angiography results did not identify an aneurysm.Hemorrhagic stroke was the initial diagnosis and pertinent stroke management followed due to rapidly declining neurological status, shewas rushed to the operating room for an emergent right craniotomy and hemorrhagic clot removal. She was then admitted to the ICU for furthermonitoring and management. Medical History:• (-) diabetes, hypertension, heart disease, cancer, and seizure.• (-) recent fevers, chills, nausea, vomiting, dyspnea, cough, pain in the chest, abdomen, or back.(-) complained of numbness, tingling, paresthesia, or edema of the extremities.• (-) history of fall and trauma to the head for the past 2 weeks• (+) recurrent headaches mildly relieved with ibuprofen.Physical Assessment upon admission:• Elevated blood pressure - 251/136• Rapidly deteriorating neurological examination• opens eyes to verbal and tactile stimuli• Deconjugated gaze• Left hemiparesis• Positive left Babinski• able to follow commands on arrival but rapidly declined to unresponsive.

Stroke occurs when the brain does not get enough oxygenated blood supply due to rupture or blockage…

Answered: A. Create 2 nursing care plans based on…

A. Create 2 nursing care plans based on the case scenario that needs to be prioritized using ADPIE. A-ssessment, D-iagnosis, P-lanning/Goal, Interventions with Rationale, and E-valuation

Medical Terminology for Health Professions, Spiral bound Version (MindTap Course List)

8th Edition

ISBN:9781305634350

Author:Ann Ehrlich, Carol L. Schroeder, Laura Ehrlich, Katrina A. Schroeder

Publisher:Ann Ehrlich, Carol L. Schroeder, Laura Ehrlich, Katrina A. Schroeder

Chapter4: The Muscular System

Section: Chapter Questions

Problem 70LE: Carolyn Goodwin complained of profound fatigue that is not improved by bed rest and was made worse...

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