Nursing care for the patients with acute ischemic stroke who received rt-PA at Kalasin Hospital

Abstract

The objectives of this study were 1) study the nursing care of acute ischemic stroke patients treated with rt-PA fibrinolytics. 2) To use the results of this study to develop a nursing practice guideline for acute ischemic stroke patients treated with rt-PA fibrinolytics. Comparing the nursing care of 2 patients with acute ischemic stroke who were treated with fibrinolytic drugs. rt-PA admitted to a critical stroke ward. Kalasin Hospital between May and June 2021. The tools used in the study consisted of Data collection form by collecting data from patient's medical records interview and observation. The data were analyzed, compared and formulated a nursing plan by using the nursing process.

Study results : Case study comparing nursing care of acute ischemic stroke patients treated with rt-PA fibrinolytics. Case Study 1: A Thai male patient aged 66 years. Significant symptoms include weakness of the right extremity, lethargy, do not speak, 3 hours before coming to the hospital, history of comorbidities, diabetes, high blood pressure, The patient had a history of lack of continued medication intake. Doctors diagnose acute cerebral infarction. Treated with anticoagulants. The patient had no complications. On the day of discharge, the patient has a slight weakness in the right leg, able to perform daily activities. Case Study 2: A 63-year-old Thai female patient. Significant symptoms include weak left arm, crooked mouth, stiff tongue, slurred speech, 4 hours before hospitalization, history of comorbidities, diabetes, and high blood pressure. Doctors diagnose acute cerebral infraction. Treated with anticoagulants. Patients with thromboembolic complications were found to have mild intracranial hemorrhage. On the date of discharge, the patient has no disability left.