HEMIPLEGIA

1
HEMIPLEGIA

• PATIENT DATA
• Name SHAUKAT ABDULHAG .
• Age 46 years old .
• Sex Male .
• Nationality Bangladeshi .
• Marital Status Married .
• Education Elementary School .
• Occupation Driver .
• Religion Muslim .

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HEMIPLEGIA

• Address Riyadh / AL-Rawda area .
• Telephone Number 01-4936381 .
• Date Time of Admission 15/4/1428 H
• At 930 PM .
• DIAGNOSIS ON ADMISSION
• LF Hemiplegia and Hypertension .

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HEMIPLEGIA

• HEALTH HISTORY
• Chief Complaint 46 years old Bangladeshi
  male patient admitted to ER Complaining of
  weakness in left side since 2 hours .
• Present History The patient has weakness
  numbness in the LF side ( LF hand LF leg )
  since 2 hours associated with drowness headache
  aggravated with movement .
• Past History The patient had Hypertension
  since 2 years ,
• Unknown history of allergy , No history of
  DM cardiac disease .

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HEMIPLEGIA

• Surgical History No surgical history .
• Family History
• Heart disease No family history of heart
• disease .
• Diabetic His father has DM disease
  
• HTN .
• Anemia No family history of anemia .
• Respiratory Problem His mother has
• COPD .
• T.B No family history of T.B .
• Others His older brother has HTN .

5
HEMIPLEGIA

• PHYSICAL EXAMINATION
• HEAD Hair distribution , Texture within normal
  .
• FACE Normal .
• Eye Erythema , Weakness Eye movement .
• Teeth Dental caries , Tartar .
• Ear No discharge .
• Nose Normal .
• Mouth No facial palsy , Gingivitis , Redness .
• NECK No Neck vein distended .

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HEMIPLEGIA

• RESPIRATORY
• Dyspnea Shortness of Breathing , Effort with
  breathing
• Wheezing No Wheezing .
• Cough No Cough .
• Sputum hemoptysis No Sputum hemoptysis .
• HEART
• Tachycardia . Bradycardia .
• Palpitation . Pain .

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HEMIPLEGIA

• ABDOMEN
• Distended . Ascitis .
• Soft . Hard .
• LEGS
• Varicose Vein . RT LF
• Swelling .
• Others Weakness in left leg .
• GENITOURINARY
• Dysuria . Polydipsia
  .
• Pain . Polyuria
  .
• Hematuria . Others

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HEMIPLEGIA

• NEUROLOGIC
• Memory . Numbness Paresthesia .(
  in LF side).
• Cognition . Others
• Weakness .( in LF side ).
• PERSONAL SOCIAL HISTORY
• Alcoholic Caffeine Not abuse Alcohol .
• Education Level Elementary School .
• Sleep Pattern He has Sleep Pattern
  Distribution .

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HEMIPLEGIA

• MEDICAL MANAGEMENT
• Brain CT scan ( Abnormal ) .
• Blood test ( CBC,CHEM,PT,PTT,BS ) .
• ABGs test .
• Check vital signs .
• ASPIRIN, HEPARIN , ATENOLOL .
• INVESTIGATION
• Blood CBC, U/E, BS, Bld.
  C/S

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HEMIPLEGIA
MEDICATION

• Nursing CONSIDERATION
• Give Drug with food or after meal .
• Give Drug with full glass of water .
• Do not use aspirin that has a strong vinegar
  like odor .

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HEMIPLEGIA
MEDICATION

• NURSING CONSIDERATION
• Do not give heparin by IM injection .
• Do not massage injection site .
• Provide for safety measures to prevent injury
  from bleeding .

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HEMIPLEGIA
MEDICATION

• NURSING CONSIDERATION
• Consult physician about withdrawing drug if is to
  undergo surgery .
• Do not discontinue drug abruptly after chronic
  therapy .
• Taper drug gradually over 2 weeks with monitoring
  .

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NURSING CARE PLAN
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NURSING CARE PLAN
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