Nursing care of acute ischemic stroke patients receiving rt-PA in PhanomPhrai Hospital. Roi Et Province: Case Study.

Abstract

     This study was a case study with the objective to study the nursing management process of patients with acute ischemic stroke who received rt-PA. at the emergency room of Phanomphrai Hospital. The case study from the patient's arrival at the hospital, patient assessment, patient screening, diagnosis, treatment and referral of 2 ischemic stroke patients who received rt-PA at Phanomphrai Hospital, Roi Et Province, between June 1, 2024 and August 31, 2024.
     Results of the study: 2 patients received prompt and standardized care from the onset of warning symptoms. Their relatives immediately took them to the hospital. Upon arrival at the hospital, the patients entered the Stroke Fast Track system, in which the emergency room nursing team played a very important role in caring for patients from the initial assessment, initial screening, important symptoms, onset time, past medical history, underlying diseases, physical examination results, laboratory test results, CT scan, important clinical symptoms and signs, changes in vital signs, and immediate reporting to the doctor so that the patients could receive timely treatment. According to the Stroke Fast Track Protocol and received rt-PA within 4.5 hours.