Case Study 2: 68-Year-old Jeffery Swanson

Cup Of Nurses

Jeffery Swanson, a 68-year-old African-American male, came into the emergency department with a blood pressure of 176/82. His respiratory rate is 20 bpm, with a temperature of 99.4 degrees Fahrenheit and an O2 saturation of 92%. Upon initial assessment, Jefferey looked calm but apprehensive; he also had a minor headache with a pain level of 3/10. His speech sounded garbled and slow but was comprehensive when questioned about his date of birth. Further assessment also revealed that his pupils were equal and reactive to light and that he presented with right-sided facial paralysis. While he can follow instructions and raise his extremities, Jefferey cannot move his right arm and leg, nor can he feel them.

1. What do you think is Jeffery’s differential diagnosis?
2. What clinical symptoms did Jefferey show to suspect he is suffering from a stroke?
3. What nursing interventions would you expect for this patient?

Timestamps
00:00 Intro
00:28 The purpose of our case study
01:28 Patient background
01:58 History
03:12 Day 1
03:26 Initial Management
04:03 Questions to Ask
06:20 Assessment
08:02 What do you think is Jeffery's Differential Diagnosis?
08:25 Nursing Interventions to expect for this patient
10:10 Doctor's Orders
12:04 Nurse Actions
14:19 Current Diagnosis
14:55 Plan
15:39 Vital signs
16:45 TPA Protocol
19:59 Day 2 - Assessment
21:54 Doctor's Orders
24:36 Day 3 - Jeffery's Last Day
25:10 Day 4 - Jeffery was transferred to the med-surg floor
25:27 Day 5 - Jeffery is ready for discharge
26:43 Risk factors that contributed to Jeffery's stroke
27:45 Contraindications for not receiving TPA
31:05 Wrapping up
31:15 End of show
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