Pathophysiology Assignment

Question 1:

Explain the underlying pathophysiology specifically related to the following clinical manifestations:

1. Aphasia
2. Right sided facial droop with right sided weakness in upper and lower limbs

Question 2:

Select one of the three categories below; then select two interventions from your one chosen category.

1. Provide a rationale for your two chosen interventions listed for the category that you have selected.
2. You must critically analyse the available evidence-based literature to support your rationale. Then, concisely explain your rationales in your own words and citing your evidence as in-text references to support your answers

Category 1 non-pharmacological Interventions

• Continuous cardiac monitoring
• 12-lead ECG 6th hourly
• Monitoring LOC
• Supplemental oxygen If SpO2<93>
• Monitor for haematemesis, melsena and haematuria

Category 2 Pharmacological Interventions

• Heparin 5000lu
• Labetalol
• NovoRAPID sub cut supplemental insulin
• Pantoprazole IV

Category 3 Reperfusion Interventions

• Thrombolysis with Alteplase IV
• Endovascular clot retrieval (ECR)

Question 3:

As the registered nurse caring for this patient, you will now prioritise 5 of the highest clinical priority related Nursing Interventions (indicated above). Then, list them in the order that you would attend to each one.

Question 4.

Concisely justify the rationale for each of the following nursing care strategies for Mrs Mary Fenech

1. Maintain Nil by Mouth
2. Monitor for haematemesis, melaesia and haematuria
3. Insertion of a nasogastric tube.
4. Collaborating with the family
5. Health care team collaborations

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