Module 9 Concept Map PDF

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Summary

Module 9 Concept Map...

Description

Possible Medications Asprin

Clinical Manifestations

Anticoagulant Thrombolytic therapy

Subjective: Recent headaches for 3 months, work related stress and ALOC

Labetalol, nitroprusside, enalapril Pathophysiology This occurs when weakened blood vessels rupture. Two weakened blood vessels cause this stroke which was aneurysms and arteriovenous malformations. They rupture and bleed into the surrounding brain. Which causes the blood to compress and surrounding brain tissue (American Heart Association, 2021). https://www.stroke.org/en/aboutstroke/types-of-stroke/hemorrhagic-strokesbleeds

Objective: CT scan showed a large bleed near the frontal lobe, lethargy

Possible Nursing Diagnosis Ineffective tissue perfusion r/t interruption of blow flow, as evidence by hemorrhagic stroke

Ackley, B., Ladwig, G. (2006). Guide To Nursing Diagnosis. Retrieved August, 2021

Nursing Interventions

Medical Diagnosis Hemorrhagic Stroke

ICP precautions 02 prn less than 92%

Patient Data/Risk Factors Mr Jackson, 38, M, AA ALOC, recent headaches, work stress, lack of medical, HX; HTN untreated

2 large IV Cardiac monitor Fluid’s conservative Monitor BP

Diagnostic Data CT Scan- Large bleed left frontal lobe Pulse ox

Patient Education Medical Interventions

Glucose check

Stool softeners

EKG

Antihypertensives

MRI Blood test

Keep talking to the person Diet restrictions NPO Stop smoking Medication education...