Case Study
CF is a 65 yo M admitted with ischemic CVA.Pt is aphasic c R sided weakness and the risk of dysphagia is obvious at admission.Pt is NPO.
HT: 5'10" WT: 223#
Na: 137 Cl: 101 BUN: 21
Chol: 223
Glucose: 179
K: 3.7 CO₂: 26 Cr: 0.8
-What is your primary concern?

Question

Case Study
CF is a 65 yo M admitted with ischemic CVA.Pt is aphasic c R sided weakness and the risk of dysphagia is obvious at admission.Pt is NPO.
HT: 5'10"      WT: 223#
Na: 137    Cl: 101       BUN: 21
Chol: 223
Glucose: 179
K: 3.7         CO₂: 26         Cr: 0.8
-What is your primary concern?

Quizplus · Accepted Answer

The primary concern in this case is dysphagia, and the risk of aspiration. The best choice is to seek the speech therapist's input on dysphagia. This will help in the development of an appropriate plan of care regarding the patient's diet and nutritional needs. The primary concern for this patient is the risk of dysphagia, as this can lead to aspiration pneumonia and other complications. Therefore, the best choice is to seek input from a speech therapist on how to address this issue. Weight, increased glucose, and nutrition education on a new diet are important aspects of care, but do not take precedence over addressing the risk of dysphagia for this patient.

Case Study CF Is a 65 Yo M Admitted with Ischemic CVA.Pt