Mrs. Saunders Is A 70-Year-Old Retired Secretary

 

Mrs. Saunders is a 70-year-old retired secretary admitted to your unit from the emergency department with a diagnosis of stroke (cerebrovascular accident or CVA). She has history of hypertension and atherosclerosis, and she had a carotid endarterectomy 6 years ago. She is 40% over her ideal body weight and has a 20-pack-year smoking history. Her daughter says her mother has been having short episodes of confusion and memory loss for the past few weeks. This morning, she found her mother slumped to the right in her recliner unable to speak.

1.      Explain the pathophysiology of a CVA. Which type of a stroke is most likely the cause of Mrs. Saunders symptoms?

2.      List three risk factors for stroke evident in Mrs. Saunders history?

a.

b.

c.

3.      List two medications that the physician may order and state why might they be used?

a.

b.

4.      List 3 interventions for Mrs. Saunders

a.

b.

C.

5.      Mrs. Saunders has some difficulty swallowing and pockets food in her right cheek. List three interventions that you could try.

a.

b.

c.