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 type of treatment was CF likely given upon presentation to the emergency room?

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 type of treatment was CF likely given upon presentation to the emergency room?

Quizplus · Accepted Answer

CF is presenting with an ischemic CVA which requires an urgent intervention to restore blood flow to the affected part of the brain. The most likely treatment given to CF upon presentation to the emergency room is tPA (tissue plasminogen activator) which is a clot-busting medication that can be given within the first few hours of a stroke to improve outcomes. CF is also NPO due to the risk of dysphagia so IV fluids may have been given to maintain hydration status, but it is not the best choice given the acute nature of the stroke. Multivitamin infusion and anti-inflammatory medications are not the appropriate treatment for a stroke.

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