Nursing care of the ischemic stroke patients with thrombolysis

Abstract

Background: Stroke is that is preventing the flow of blood to brain may be caused by stroke or blocked artery partitions from a lump of blood. Make the brain tissue is damaged.  Treating stroke in acute ischemia is very important. Because it can change the action of disease and prognosis of the patients.   In particular, drugs, blood clot thrombolysis.  

Case study: 74-year-old female patient came to Thailand by the right patient for 20 minutes before the limbs came to hospital.    Doctors diagnosed as stenosis and stroke (Lacunar Infarction) is clogged, reducing brain swelling about nursing. Prevent the occurrence of complications from a blood clot and dissolved drugs received care, patients with Recombinant tissue plasminogen activator drugs received (rt-PA) within 40 minutes later, a blood clot drug solubility. Assess vital signs every 15 minutes, the drug in every30 minutes 6 hours 2 hours blood pressure 140/90-100 mm-200 mercury 94-98 times pulse/minute to breathe 20 times/min 36.3-37.3 degrees Celsius temperature.  After all, the drug for patients with symptoms of the absorption into Glasgow coma scale have E1V1M5 vital signs. Blood pressure 200/100 mm of mercury 98 times/min breathing pulse 20 times/min temperature 37.3 degrees Celsius. The doctor, with Bird respirator on ET Tube, the nurse to help prevent Brain swelling. Reduction of anxiety of relatives of patients ET tube for 2 off after  undergoing treatment in hospital following a patient has a symptomatic. Hospitalized in a hospital for a period of 8 days. Nursing knowledge and how to care for relatives who care for patients is sufficiently. Before you go home and repeat the 1-month lab internal medicine clinic. King Narai the great hospital. Total expenses 46720 baht.

Result: The patient does not occur, the dangers of acute brain ischemia in the emergency phase. Solve the problem of high pressure in the skull and dementia. Reducing brain swelling with breathing tube A story of rehabilitation and prevention of the duplicates.