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1.)You are being dispatched for a report of a possible stroke. You arrive at a modest private residence where you and your partner are met by a woman identifying herself as the patient’s wife. She informs you the patient is in the basement and begins to lead the way. As she escorts you downstairs, she says, “We had both been taking a nap. I woke up about 15 minutes ago and he was already awake sitting on the couch, but he wouldn’t answer my questions.” Once in the basement, you find an approximate 49-year-old male patient who is conscious and seated on the couch. You estimate him to be over 6 feet tall, weighing roughly 240 pounds and you observe he seems to be favoring his left hand and has a slight offset to one side of his mouth. The patient is not drooling and seems to be swallowing easily. You do not see any evidence of respiratory distress or an inability to protect his airway. He is calm but makes no attempt to speak and can follow commands. You attempt to obtain a SAMPLE history by using simple “yes/no” questions to which he responds by only shaking his head. You have determined he has no complaints of a headache and his symptoms started approximately 2-hours ago. He is denying any chest pain, shortness of breath and/or abdominal pain His wife informs you she gave the patient 325 mg of Aspirin. She also tells you he had experienced an episode of left sided weakness about 1 year ago. At that time, his physician was unable to determine the cause of his symptoms but did not think he had experienced a stroke. Please answer the following questions in response to the case study.
a. List a minimum of 3 possible conditions where a patient could present with Stroke-like signs and/or symptoms?
b. In addition to a performing a primary assessment and asking the standard questions associated with OPQRSTI & SAMPLE history, what additional information would you need to gather and/or assessments would you perform? (Do not summarize what has already been provided.)
c. Using the Glasgow Coma Scale, what score would you assign to the patient? Explain how you scored your patient.
d. If this is deemed as a stroke, what affects could the Aspirin have on the patient?
e. How are you going to manage your patient? (Provide a detailed care plan. If your treatment includes oxygen, specify the device and liter flow.)
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