Cup Of Nurses

Case Study 2: 68-Year-old Jeffery Swanson


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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.

  1. What do you think is Jeffery’s differential diagnosis?
  2. What clinical symptoms did Jefferey show to suspect he is suffering from a stroke?
  3. What nursing interventions would you expect for this patient?
  4. 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

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    Cup Of NursesBy Peter Findura

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