Nursing care of patient acute ischemic stroke Receiving antithrombolytic : Case study 2 case

Abstract

Introduction : Acute Ischemic Stroke is a disease that every minute count, the sooner to act the better chance to prevent further brain damage and long term disability. if the patients has good rapid standards treatment in the golden period they have a chance to full recovery 

Objective : To study nursing patients with acute ischemic stroke patients receiving thrombolytic drugs in the emergency room.

Meterial and Methods : A comparative study of nursing patients with acute ischemic stroke or thromboembolism receiving anticoagulants in the emergency room. Mahasarakham Hospital The tools used in the study included Data record form Gather information from patient medical records. Relative interviews and observations Analyze comparative data And nursing planning using a nursing process and nursing record in focus charting

Case study : Case 1: 67-years Thai male came to ER with history of left facial palsy, dysarthria, left hemiparesis for 17 minute before arriving. After ER nurse screening with BEFAST technique then Patient pass to Stroke-Fast-Track unit and received thrombolytic drug immidiately.  After that the patient had discharge from hospital without complication and disabilities Case 2: 60-years Thai male presenting with dysarthria and left hemiparesis for 4-hours before arriving ER. After ER nurse evaluated with BEFAST technique and passing the patient to Stroke-Fast-Track unit for immediate administering thrombolytic drug then that patient go back home without any complication or disability.

Conclusion : The two patients receiving thrombolytic drugs had different levels of ischemic brain location. Patients are cared for in a critical period by a multidisciplinary team. Especially, professional nurses who have the capability to care for patients in the critical period according to nursing standards Evidence-Based Patient Care Including holistic nursing care This results in good clinical outcomes to reduce disability and mortality rates of patients.