Loxeva 750mg 1

tab OD
Hematology
result 01-2115High WBC

Pneumoni

Easily
lodge by
Accumul
ation
fluid in
the lungs
and
Pooling
of

Predisposing Factor
-Age: 60 years old
-Family Hx of Hypertension

FluidV/S and NeuroAccumulation

-Crackles
of
* Frequent
V/S
shifting
-Productive monitoring
to take note offluid
anyin interstitial
cough
unusuality or deterioration.
* Raising head of bed to 50degrees (as
Salbutamol +
ordered) Pooling
to prevent increased
of for
ICP
Risk
Ipratropium 1 neb
of bloodmaneuver, forceful
* Avoid Valsalva
Q6H
sneezing, acute flexion or rotation of
CT-Scan of brain 01Suction
Decrease
27-15
oropharynge
venous
Acute left thalamoal PRN
ganglionic bleed

Ability to secrete
secretion is
Muscles
are

Muscles
are

Mobility
is
* Apply
footboard when
in supine

Decrease
of

Small arteries in intracranial area are

Rupturing of the small

Right
side

* Positioning and putting of

egg-crates to prevent
pressure ulcers
* ROM exercise to prevent
muscle atrophy and joint

- Right
hemiparesis
- Flaccid
FC with urobag, MIO qshift.
Urinalysis 02-02-15
Specific gravity 1.020,
Protein Negative,
RBC 150-200Hpf, Puss cells2-

Name of Student: Bolido, Bert Brian E.

Bleeding in
basal

Several functions are

affected

Several functions are

affected

Motor

Increased
blood
volume in
cranial vault

Left hemisphere of the brain is

affected

Alertn
Drows

Behavioral
- Difficulty of
speaking

Cogniti
Disorientati
on

* Encourage significant others to engage

patient during the day in order to
stimulate brain function.
* Talk slowly to the patient, and give him
enough time to respond through his

Movemen
t
Diplopi
a
Eye patch
in the
right eye

Vasoconstriction
occurs as a
response to
impaired

Obstructive
hydrocephal
us

Blood impedes
circulation of

Functioning of the brain is

disrupted

Bleeding in
the thalamic

NGT for
P.O.
meds/OTF
250cc q4

Cerebral
perfusio
n is
impaired

Build up CSF
in the brain

Blood in those area are

disrupt the normal

Progressio
n

*
Headach

Increased

Increase
d
pressure
in the
Increased
in CSF and
blood
volume

Bleeding in the ganglia and the

thalamus area

Lilac
30cc
OD

Constipati
on

Increased in
CSF and
blood
volume
presses the

Persistent hypertension due to thinning of

with interventricular
extension, with
regression and still
causing mild
subfalcial herniation
and mild obstructive
hydrocephalus.
Cerebral
edema;

Unable
to

Fluimu
cil
200mg
1
sachet

Precipitating Factor
-Lifestyle (Smoker and
Alcoholic)
-hypertension
-DM type 2

Concept Map on CVA bleed

Left Thalamo-ganglionic
bleed
Patient Name: Mr. DGD

Voluntar
y
Body
weakness
* Provide passive ROM
exercise
* Progress activity
gradually

Increased of
blood pressure

*Amlodipine +
Telmisartan
(Twysta)
80mg/5mg OD
*Cardipres 25mg