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CVD Infarction MCA in Distribution; HCVD FC II; Type II DM

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chris manguilin

on 17 March 2012

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Transcript of CVD Infarction MCA in Distribution; HCVD FC II; Type II DM

CVD Infarction MCA in Distribution;
HCVD FC II; Type II DM Cerebrovascular
Disease
Presented By:
Manguilin, Ramon Christopher
Puzon, Janine
Puzon, Jasmine
Quiao, Joyce Ann
Ramboyong Lean Cris a group of conditions
that affect the circulation
of blood to the brain,
causing limited or no
blood flow to affected
areas of the brain.
it is the third leading cause of
death in the USA, for an average
of 500,000 new strokes occur
each year in the Philippines, accrdng. to NSO
it is the second leading cause of death
with the rate of 11.11% as of 2007 HPN
Heart Disease
Diabetes
Lifestyle
Family History
Motor dysfunction
Flaccid paralysis
Lose gag reflex and ability to cough
Communication deficits
Spatial and perceptual deficits
Increased blood pressure
Vomiting, seizures, fever
Neurological examination
Blood tests,
CT scan (without contrast enhancements)
 MRI scan
Doppler ultrasound
Arteriography
The researchers decided to choose this case for this is a new and interesting problem when exposed in the area. The study would serve as an aid in adding information and knowledge to the researchers.
 
OBJECTIVES General Objectives
To provide the students a guide line in caring for people with cerebrovascular disease using the nursing process appropriately and effectively, to give information on the readers about the nature of the problem and lastly, to provide other healthcare workers of the new developments in nursing care in regards of treating the disease condition.

Specific Objectives
At the end of this study the student nurses will able to:
Define and identify the probable causative factors of cerebrovascular disease.
2. Trace the anatomy and physiology.
3. Assess the nursing history of the patient.
4. Identify the signs and symptoms of the underlying disease.
5. Formulate the nursing care plan, to achieve the maximum wellness of the patients.
6. Provide health teaching to the patient and significant others to prevent further complication.
Client's Profile NURSING HISTORY Chief Complaint History of Present
Illness Past Medical
History Name: O.G.B.
Age: 54 years old
Gender: Male
Civil status: Married
Address: Taguig City
Birth date: February 16, 1957
Religion: Roman Catholic
Occupation: Soldier
Nationality: Filipino
Diagnosis: CVD Infarction
MCA in Distribution;
HCVD FC II; Type II DM
 

The patient’s chief complaint
is left sided body weakness.
The patient was known to be hypertensive and diabetic since 2004. He consulted at one hospital at Cotabato but he poorly maintained on unrecalled medications. He also suffered a stroke in 2007 (Right MCA distribution) with no residuals.
Two days prior to admission, patient was noted to have sudden inset mild slurring of speech and left sided body weakness.
No headache, no difficulty of breathing, no nausea and vomiting, no medications were taken nor consult done. Signs and symptoms persisted until…
Few hours prior to admission, patient noted to have increased severity of left sided body weakness with difficulty of ambulating and aphasia. He was brought to F.B.S.H. where blood pressure was noted at 210/110 mmHg. He was given sublingual clonidine and was subsequently transferred at Medical City where cranial MRI revealed an infarct over the right pons. Patient was given citicholine, simvastatin and was also started on nicardipine drug. He was then transferred at AFP Medical Center and had his CT scan.

The patient received his complete
immunizations. He experienced chicken pox,
measles and mumps when he was still young.
He has food allergy in “daing”.
By 2007, he has been hospitalized due to stroke.

FAMILY GENOGRAM 100 YEARS OLD
due to Aging 72 YEARS OLD
killed in action 35 YEARS OLD
heart attack 54 patient OGB
CVD Infarction MCA in Distribution;
Type II DM 46 allergy: High protein 10 male female deceased LEGEND PHYSICAL ASSESSMENT inspection and palpation face  Left sided facial asymmetry due to stroke newspaper visual acuity CN II  Visual grade of 120 in both eyes.

due to DM Type II inspection
and palpation Tongue deviation to the left tongue Weak gag reflex

due to stroke NEUROLOGICAL ASSESSMENT Patient OGB is alert, oriented to time, place and person and with a Glasgow Coma Scale of 11 (Eyes4 Verbal1 Motor6). ANATOMY AND PHYSIOLOGY Nervous System PATHOPHYSIOLOGY DIAGNOSTIC
AND LABORATORY EXAMS
PHARMACOLOGIC
MANAGEMENT Course in the Ward NURSING CARE PLAN 1 2 3 Thank you....
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