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    Acute Stroke Aksa

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    A 72-year-old male presented with complaints of left-sided weakness, slurred speech, and altered consciousness. He had a history of hypertension. Physical examination found elevated blood pressure and a heart murmur. CT scan showed acute non-hemorrhagic infarcts in the right territory. He was diagnosed with an acute stroke. Treatment goals were to relieve symptoms and prevent complications. Medications included aspirin, atorvastatin, pantoprazole, and amlodipine. The patient's condition improved over three days. Counselling focused on lifestyle changes and medication adherence to manage hypertension and reduce stroke risk.

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    Acute Stroke Aksa

    Uploaded by

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    16 views16 pages
    A 72-year-old male presented with complaints of left-sided weakness, slurred speech, and altered consciousness. He had a history of hypertension. Physical examination found elevated blood pressure and a heart murmur. CT scan showed acute non-hemorrhagic infarcts in the right territory. He was diagnosed with an acute stroke. Treatment goals were to relieve symptoms and prevent complications. Medications included aspirin, atorvastatin, pantoprazole, and amlodipine. The patient's condition improved over three days. Counselling focused on lifestyle changes and medication adherence to manage hypertension and reduce stroke risk.

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    A 72-year-old male presented with complaints of left-sided weakness, slurred speech, and altered consciousness. He had a history of hypertension. Physical examination found elevated blood pressure and a heart murmur. CT scan showed acute non-hemorrhagic infarcts in the right territory. He was diagnosed with an acute stroke. Treatment goals were to relieve symptoms and prevent complications. Medications included aspirin, atorvastatin, pantoprazole, and amlodipine. The patient's condition improved over three days. Counselling focused on lifestyle changes and medication adherence to manage hypertension and reduce stroke risk.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    16 views16 pages

    Acute Stroke Aksa

    Uploaded by

    last request
    A 72-year-old male presented with complaints of left-sided weakness, slurred speech, and altered consciousness. He had a history of hypertension. Physical examination found elevated blood pressure and a heart murmur. CT scan showed acute non-hemorrhagic infarcts in the right territory. He was diagnosed with an acute stroke. Treatment goals were to relieve symptoms and prevent complications. Medications included aspirin, atorvastatin, pantoprazole, and amlodipine. The patient's condition improved over three days. Counselling focused on lifestyle changes and medication adherence to manage hypertension and reduce stroke risk.

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    CASE PRESENTATION ON

    ACUTE STROKE

    Reg No .15Q1014
    PATIENT DEMOGRAPHIC DETAILS:

    • Name: XYZ
    • Age:72yrs
    • Sex: male
    • Unit: Medicine A
    • DOA: 02-08-2018
    • DOD:04-08-2018
    Complaints on admission:

    C/o weakness of left side of the body


    C/o slurring of speech
    C/o altered level of consciousness
    MEDICAL HISTORY:
    k/c/o Hypertension

    MEDICATION HISTORY:
    Tab.amlodipine 5mg (1-0-0)
    Physical examination:
    General:
    PR- 82bpm
    BP:180 /110mmHg
    CVS: S1, S2 + ,systemic murmur in mitral area
    RS:NVBS; no added breath sounds
    T.Chol:230mg/dl
    TG:200mg/dl
    LDL:140mg/dl

    CT scan shows acute non hemorrhagic infarcts in the right territory


    P I C C L E(+)
    SOAP ANALYSIS FOR ACUTE STROKE
     Subjective Evidence:
    C/o weakness of left side of the body
    C/o slurring of speech
    c/o altered level of consciousness

    Objective Evidence:
    BP: 180/110mmHg
    T.Chol:240mg/dl
    TG:200mg/dl
    LDL:140mg/dl
    CT scan shows acute non hemorrhagic infarcts in the right territory
    ASSESSMENT

     From the subjective and objective evidence, it was diagnosed as


    STROKE
    THERAPEUTIC GOALS

    Patient specific:-
    To relieve the patient from the symptoms of stroke

    Disease specific:-
    To avoid further complications of stroke
    DRUGS DOSE Route Freq D A Y
    1 2 3

    T.Aspirin+atorvastatin 150+20mg PO 0-0-1 + + +

    T piracetam +citicoline 800+500mg PO 0-0-1 + + +

    Pantoprazole 40mg PO 1-0-0 + + +

    Inj.mannitol 100ml IV 1-1-1 +

    T. Amlodipine 5mg PO 1-0-0 +


    Days progress
    Day 1 PR:82bpm
    Bp:180/110mmHg
    Systolic murmer +
    Left sided weakness
    Day 2 H/o head ache
    PR:86bpm
    Bp:150/90mmHg

    Day 3 No fresh complaints


    PR :76bpm
    Bp:120/80mmHg
    planning

    • Tab .asprin +atorvastatin (150+20mg) 0-0-1


    • Tab. Pantoprazole 40mg 1-0-0
    • Tab .amlodipine 5mg 1-0-0
    Toxicity parameters
    Pantoprazole:
    Diarrhea, GI infections, dizziness
    Atorvastatin
    Hypersensitivity reactions , hepatic or severe renal dysfunction,
    PATIENT COUNSELLING
    HYPERTENTION
    Drug specific

    Pantoprazole-
    • Take each dose at the same time .
    • Avoid alcohol
    • Take the drug whole
    Aspirin:
    • Advise patient to take drug with food or after food to avoid GI upset.
    • Advise patient receiving high dose, long term aspirin therapy to watch
    for bleeding gums and signs of GI bleeding.
    Disease Specific
    STROKE
    • Limit cholesterol and fat. Cutting back on cholesterol and fat, especially
    saturated fat and trans fat, in your diet may reduce buildup of plaques in your
    arteries.
    • Eat plenty of fruits and vegetables. These foods contain nutrients such as
    potassium, folate and antioxidants, which may protect against a TIA or a stroke.
    • Limit sodium. If you have high blood pressure, avoiding salty foods and not
    adding salt to food may reduce your blood pressure. Avoiding salt may not
    prevent hypertension, but excess sodium may increase blood pressure in people
    who are sensitive to sodium.
    • Exercise regularly. If you have high blood pressure, regular exercise is one of the
    few ways you can lower your blood pressure without drugs
    • Limit alcohol intake. Drink alcohol in moderation, if at all. The recommended
    limit is no more than one drink daily for women and two a day for men.
    • Maintain a healthy weight. Being overweight contributes to other risk factors,
    such as high blood pressure, cardiovascular disease and diabetes. Losing weight
    with diet and exercise may lower your blood pressure and improve your
    cholesterol levels.
    • Control diabetes. You can manage diabetes and high blood pressure with diet,
    exercise, weight control and, when necessary, medication.
    THANK YOU

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