Nursing Care of Patient Stroke Fast Track: 2 Case studies

Abstract

This study is a comparative study of nursing care for stroke patients using the fast track : 2 case studies and the results of the study will be used to improve the quality of nursing care to be more efficient. The study was conducted between October 2022 - September 2023.

 Objective: The study was to determine Nursing Care of Patient Ischemic Stroke:  A 2 Case Study

The results of a study of 2 stroke fast track patients found that

Case 1: A 54-year-old Thai male patient. Important symptoms: slurred speech, facial palsy right side of mouth. There is weakness in the right limb. 1 hour before coming to the hospital, come to the hospital through the emergency medical system. Diagnosed Cerebral infarction. Received thrombolytic drug (rt-PA) within a quick period of time. After receiving the medicine, the patient's symptoms improved and his speech was clear and normal. The right limb weakness improved to normal. There were no complications from the administration of thrombolytic drug.

Case 2: Thai male patient, age 58 years, main symptoms: slurred speech, facial palsy on the left side. The left limb is weak. 2 hours before coming to the hospital, I came to the hospital by relatives. Diagnosed with cerebral infarction and having high blood pressure problems, he had to be given Nicardipine first and then blood thinners. After receiving the medicine, the patient's left limb symptoms improved but were still not normal. He still had slurred speech. facial palsy on the left side.

Conclusion: This study found that stroke patients who come to the hospital through the emergency medical system will be treated with quick thrombolytic drugs, which will lead to good recovery, reduce disability, and reduce death.