Clinical Concept Map

Patient Name: Amir Rahman Gender; Male Diagnosis: Stroke

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jj
C Complication

La Hearing loss
History
b
D Memory difficulty
According to the pt
Lab investigatio Attendant his Learning disabilities
S/S father suddenly
CT scan
falls and have very Seizure
MRI lower BP
Brain or Nerve Damage
NI decreased
CSF Culture breathing and low Kidney failure
CBC GCS.
p
ECG
LFTS,RFTS,PT,APTT
T

Pathophysiology
STROKE
The
primary pathophysiology
 Sudden numbness or weakness in
the face, arm, or leg, especially on of stoke is an underlying
one side of the body. heart or blood vessel
 Sudden confusion, trouble disease. The secondary
speaking, or difficulty
understanding speech.
manifestations in the
brain are the result of one
 Sudden trouble seeing in one or
both eyes. or more of these
underlying diseases or
risk factors
 Nursing Intervention

Administer analgesic, NEOBOLIZER

Nursing diagnosis Antipyratic,Benzodizipam Mind
Disturb sleep pattern diversion ,Give emotional support,
r/t pain. Hygiene care.

Fever r/t nflammation

CAUSES

Causes of strokes include

Treatment ischemia (loss of blood supply)
or hemorrhage (bleeding) in the
 ceftriaxone brain. People at risk
 Flaygyl for stroke include those who
have high blood pressure, high
 Toradol cholesterol, diabetes, and those
 Eliva plus who smoke.
 Zantic
 dexa
 Drug Card For STROKE

Drug card on:

Ceftriaxone

Dosing Forms and Strengths;

1g/50 ml
2g/50 ml

Mechanism of Actions;
Third generation cephalosporin with broad spectrum gram negative activity; has lower efficacy
against gram-positive organisms but higher efficacy against resistance organisms;Highly stable
in presence of beta-lactamases of gram negative and positive bacteria, bactericidal activity
results from inhibiting cell-wall synthesis by binding to 1 or more penicillin binding protein.

Absorption;
IM preparation well absorbed
Distribution;
Distributed throughout the body including gallbladder, lungs bile…
Adverse effects;
 severe stomach or abdominal pain,
 persistent nausea or vomiting,
 yellowing eyes or skin,
 dark urine,
 unusual tiredness
Contraindication;
 Hypersensitivity to drug/class/compon.
 caution if renal impairment
 caution if concurrent nephrotoxic agent use
 caution if seizure disorder
 Nursing care plane

Assessment Diagnosis Goal/Expected outcome Intervention Rationale

Subjective data; • Impaired Short term goal; Administered To reduced fever

 According to physical mobility, antipyretic
At the end of my today as patient most likely
patient he had related to
Rehab is will not be as mobile
 Numbness neurologic clinical the condition of as they are at
 Tingling essential in stroke
deficits causing the patient would be recovery baseline.
 Decreased
sensation left hemiplegia better up to some
 Difficulty extent mean. Decreases risk
swallowing for subsequent all must complete a
stroke baseline assessment
 Headache
and provide
 Pain
recommendations
 Nausea
 Dizzines Injury prevention Fall prevention
Long term goal;
measures
At the end of
hospitalization the
Objective data;
A 30 years old man patient would be able
lying on the bed in to relief from fever and
supine position. headache and stroke
 Ataxia completely.
 Dysmetria
 Facial droop
 Paralysis
 Aphasia
 Dysphagia
 Dysarthria
 Vomiting
 Increased
secretions
 Incontinence
 LOC changes