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 Assignment 12.1: Case Study 3 

Case Study

L.P. is a 62-year-old woman with a history of hypertension and hyperlipidemia who presented to a primary stroke center with sudden onset weakness of the right side. On assessment, she had aphasia, left gaze preference, right hemianopsia, right facial droop, dysarthria, and right hemiplegia (Stroke Scale = 22). Head CT angiography showed a left middle cerebral artery occlusion. She was given Alteplase intravenous tPA at 2 hours from symptom onset and transferred to a comprehensive stroke center. She also underwent mechanical thrombectomy. Three months later she had no neurological deficits.

Assignment Instructions

Please complete the following case study analysis utilizing the following:

The Nursing Process:

A Assessment

D – Diagnosis (Use NANDA nursing diagnoses)

P Plan (Outcome with a specific short and long term goal)

I Implementation

E – Evaluation

Additional Information to include if applicable: Medication (class, mechanism of action, dosage [standard if not provided], indication, side effects, contraindications)

See note attachment.


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