Nursing care of ischemic stroke patients with complication at Kalasin Hospital

Abstract

     Nursing care for patients with ischemic stroke or blockage with complications Kalasin Hospital had a purpose to study and compare nursing care for patients with ischemic stroke or blockage with complications. Study on 2 patients, selected specifically Patients diagnosed by a physician with ischemic stroke who are admitted to the internal medicine department. Kalasin Hospital.

     The results of the study found that the first case study was a Thai female patient aged 54 years. The main symptom was drowsiness and unconsciousness. There is weakness in the left side of the arm. Receive referrals from community hospitals Diagnosis of Right MCA infraction, history of co-morbidities, diabetes, high blood pressure while receiving treatment Patients with Glasgow coma score (GCS) decreased along with increased blood pressure. The left arm and leg are weak and weak. Motor power on the left is grade O, the right is grade V. While receiving treatment, the patient had cerebral edema. There is a treatment plan for consultation with a neurosurgeon and a treatment plan for brain surgery along with drug therapy. Overcoming the crisis, there was a problem of being unable to wean off the ventilator. The patient was treated with a tracheotomy and rehabilitated in preparation for discharge. Complications found during treatment include swallowing problems, pressure sores, and joint stiffness. After receiving treatment for complications, the patient gradually improved. Can be sold home by referral to a community hospital.

     Case study number 2, a 56-year-old female patient admitted for treatment with symptoms of weakness in the left arm and leg, slurred speech, stiff tongue, 3 hours before coming to the hospital, history of co-morbidities, diabetes, high blood pressure, asthma. The doctor diagnosed Ischemic Stroke. Results of CT Scan: Chronic lacunar infraction at bilateral basal ganglia. The treatment plan is to give antiplatelet drugs, namely Plavix (75mg) 1 tab OD, and Atorvastatin 20mg 1 tab oral hs. While caring for the patient, he felt shortness of breath. along with weakness in the left arm and leg and difficulty swallowing. The patient consulted a rehabilitation doctor to evaluate swallowing and continued exercise. The patient's condition improved accordingly. Can eat without choking on food Can be sold back home