Case Study 2: 68-Year-old Jeffery Swanson

Jeffery Swanson, a 68-year-old African-American male, came into the emergency department with a blood pressure of 176/82. His respiratory rate is 20 bpm, with a temperature of 99.4 degrees Fahrenheit and an O2 saturation of 92%. Upon initial assessment, Jefferey looked calm but apprehensive; he also had a minor headache with a pain level of 3/10. His speech sounded garbled and slow but was comprehensive when questioned about his date of birth. Further assessment also revealed that his pupils were equal and reactive to light and that he presented with right-sided facial paralysis. While he can follow instructions and raise his extremities, Jefferey cannot move his right arm and leg, nor can he feel them. What do you think is Jeffery’s differential diagnosis? What clinical symptoms did Jefferey show to suspect he is suffering from a stroke? What nursing interventions would you expect for this patient? Timestamps 00:00 Intro 00:28 The purpose of our case study 01:28 Patient background 01:58 History 03:12 Day 1 03:26 Initial Management 04:03 Questions to Ask 06:20 Assessment 08:02 What do you think is Jeffery's Differential Diagnosis? 08:25 Nursing Interventions to expect for this patient 10:10 Doctor's Orders 12:04 Nurse Actions 14:19 Current Diagnosis 14:55 Plan 15:39 Vital signs 16:45 TPA Protocol 19:59 Day 2 - Assessment 21:54 Doctor's Orders 24:36 Day 3 - Jeffery's Last Day 25:10 Day 4 - Jeffery was transferred to the med-surg floor 25:27 Day 5 - Jeffery is ready for discharge 26:43 Risk factors that contributed to Jeffery's stroke 27:45 Contraindications for not receiving TPA 31:05 Wrapping up 31:15 End of show Cup of Nurses: https://fanlink.to/CONsite Frontline Warriors: https://fanlink.to/FWsite Apple https://fanlink.to/Applepodcast Spotify https://fanlink.to/Spotifypodcast Cup of Nurses Store https://fanlink.to/CONshop Frontline Warriors store https://fanlink.to/FWshop Interested in Travel Nursing? https://fanlink.to/TravelNurseNow Free Travel Nursing Guide https://fanlink.to/Travelnursingchecklist Nclex Guide https://fanlink.to/NCLEXguide Cup of Nurses FB Group https://www.facebook.com/groups/cupofnurses Frontline Warriors FB group https://fanlink.to/FWFBgroup