Nursing Care for Patients with Acute Stroke in the Emergency room : A Case Study of 2 Case

Abstract

Background: Stroke is a leading cause of death and disability worldwide, and its incidence is increasing every year. Stroke is a critical condition where the brain is deprived of blood supply, but the brain tissue remains viable. If blood flow is restored promptly and at a sufficient level, the affected brain tissue can recover quickly, leading to the patient returning to normal. Emergency room nurses play a crucial role in caring for patients during this phase. Providing timely, accurate nursing care according to standards can prevent complications, ensuring patient safety and reducing rates of disability and mortality. Objective: To study the nursing management of acute stroke patients in the emergency room: A case study of 2 cases.

Materials and Methods: Comparative study of nursing care for Patients with Acute Stroke in the Emergency room. Tools used in the study consisted of Data recording form Gather information from patient medical records. Comparative data analysis Risk factors for acute stroke, pathology, signs and symptoms, treatment, problems and nursing diagnosis. Emergency room discharge planning. The researcher requested ethics through the ethics committee. Hat Yai Hospital to carry out this research.

Results: Both case study patients were screened. and continually monitor symptoms Using guidelines for screening and nursing care for Patients with  Acute Stroke in the Emergency Room. In Case Study 1, the patient presented with prominent symptoms of headache, vomiting, and overall weakness, which had begun approximately 3 hours prior to hospital arrival. Prompt and accurate assessment led to a diagnosis of ischemic stroke (Fast Track), and the patient received rt-PA thrombolysis medication during admission without complications. In Case Study 2, the patient exhibited significant symptoms of slurred speech and weakness in the limbs, with a last-known-well time of 8 hours before hospital admission. The diagnosis of non-Fast Track stroke was made by a physician, and a brain computed tomography (CT) scan revealed left basal ganglia hemorrhage with intraventricular hemorrhage (IVH). The patient experienced decreased level of consciousness and hypertension. Endotracheal intubation was performed, and antihypertensive medication was administered. Continuous close monitoring and nursing care were provided to prevent various complications, resulting in the absence of complications during the emergency room stay for Case Study 2.

Conclusions: This study demonstrates the significant role of nurses in screening and assessing patients to monitor for changes in their condition, leading to prompt treatment, patient safety, and reduction of potential complications.