Case study: Amelia is a 68-year-old woman who was brought into ED by her neighbour. She woke this morning at 0600 hours with a 5/10 headache. At 0700 she called her neighbour and asked her to bring her to hospital when she began to feel weak, and her headache increased to 7/10. At this time, one side of her face began to “feel strange”. She has past medical history of Atrial fibrillation (AF), hypertension (HT) and dyslipidaemia which she manages with Apixaban 2.5mg BD, Sotolol 80mg daily, Amlodipine 5mg daily, Irbesartan/hydrochlorothiazide 300/25mg daily, Rosuvastatin 10mg daily. Amelia used to smoke 20 cigarettes/day but states she quit 5 years ago. When she was brought into ED, she told staff that she did not take her medications this morning as she was too distracted by her increasing headache.You are assigned to care for Amelia. As you are about to enter her room, you overhear Amelia crying to her neighbour, explaining that she is worried as her mother had died of a stroke. CT scan of the Brain (CTB): • Amelia has had a left middle cerebral artery occlusion. ROSIER score • Mild facial weakness • Limb strength: Left side: normal; Right side: right arm no response, right leg weak • A slight speech disturbance • No visual issues Vital signs: • BP 180/94 • HR 80 • RR 19 • SpO2 97% • Temp 37 BGL is 8.1mmol/L. Both pupils are equal and reactive to light: 4+. Amelia’s ECG shows she is experiencing Atrial Fibrillation (AF). P: The pain is worse when Amelia moves her head suddenly - nothing seems to relieve the pain Q: The pain feels like extreme pressure on the left side of her head R: The pain is confined to her head S: 9/10 T: The first pain onset was about 4 hours ago You are required to populate with your ABCDE assessment of your patients. You must use this template to present your findings. Within the ABCDE section of the template you must present the information in dot points. Your actions/strategies must be supported by contemporary and relevant literature. ABCDE Framework for Amelia (approx. 250 words) Assessment Findings Actions/strategies Airway Breathing Circulation Disability Exposure

Case study: Amelia is a 68-year-old woman who was brought into ED by her neighbour. She woke this morning at 0600 hours with a 5/10 headache. At 0700 she called her neighbour and asked her to bring her to hospital when she began to feel weak, and her headache increased to 7/10. At this time, one side of her face began to “feel strange”. She has past medical history of Atrial fibrillation (AF), hypertension (HT) and dyslipidaemia which she manages with Apixaban 2.5mg BD, Sotolol 80mg daily, Amlodipine 5mg daily, Irbesartan/hydrochlorothiazide 300/25mg daily, Rosuvastatin 10mg daily. Amelia used to smoke 20 cigarettes/day but states she quit 5 years ago. When she was brought into ED, she told staff that she did not take her medications this morning as she was too distracted by her increasing headache.You are assigned to care for Amelia. As you are about to enter her room, you overhear Amelia crying to her neighbour, explaining that she is worried as her mother had died of a stroke. CT scan of the Brain (CTB): • Amelia has had a left middle cerebral artery occlusion. ROSIER score • Mild facial weakness • Limb strength: Left side: normal; Right side: right arm no response, right leg weak • A slight speech disturbance • No visual issues Vital signs: • BP 180/94 • HR 80 • RR 19 • SpO2 97% • Temp 37 BGL is 8.1mmol/L. Both pupils are equal and reactive to light: 4+. Amelia’s ECG shows she is experiencing Atrial Fibrillation (AF). P: The pain is worse when Amelia moves her head suddenly - nothing seems to relieve the pain Q: The pain feels like extreme pressure on the left side of her head R: The pain is confined to her head S: 9/10 T: The first pain onset was about 4 hours ago You are required to populate with your ABCDE assessment of your patients. You must use this template to present your findings. Within the ABCDE section of the template you must present the information in dot points. Your actions/strategies must be supported by contemporary and relevant literature. ABCDE Framework for Amelia (approx. 250 words) Assessment Findings Actions/strategies Airway Breathing Circulation Disability Exposure

Surgical Tech For Surgical Tech Pos Care

5th Edition

ISBN:9781337648868

Author:Association

Publisher:Association

Chapter24: Neurosurgery

Section: Chapter Questions

Problem 24.2CS

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Case study:

Amelia is a 68-year-old woman who was brought into ED by her neighbour. She woke this morning at 0600 hours with a 5/10 headache. At 0700 she called her neighbour and asked her to bring her to hospital when she began to feel weak, and her headache increased to 7/10. At this time, one side of her face began to “feel strange”. She has past medical history of Atrial fibrillation (AF), hypertension (HT) and dyslipidaemia which she manages with Apixaban 2.5mg BD, Sotolol 80mg daily, Amlodipine 5mg daily, Irbesartan/hydrochlorothiazide 300/25mg daily, Rosuvastatin 10mg daily.
Amelia used to smoke 20 cigarettes/day but states she quit 5 years ago. When she was brought into ED, she told staff that she did not take her medications this morning as she was too distracted by her increasing
headache.You are assigned to care for Amelia. As you are about to enter her room,
you overhear Amelia crying to her neighbour, explaining that she is
worried as her mother had died of a stroke.

CT scan of the Brain (CTB):
• Amelia has had a left middle cerebral artery occlusion.

ROSIER score • Mild facial weakness • Limb strength: Left side: normal; Right side: right arm no response, right leg weak • A slight speech disturbance • No visual issues	Vital signs: • BP 180/94 • HR 80 • RR 19 • SpO2 97% • Temp 37
BGL is 8.1mmol/L. Both pupils are equal and reactive to light: 4+.	Amelia’s ECG shows she is experiencing Atrial Fibrillation (AF).

P: The pain is worse when Amelia moves her
head suddenly - nothing seems to relieve the
pain
Q: The pain feels like extreme pressure on
the left side of her head
R: The pain is confined to her head
S: 9/10
T: The first pain onset was about 4 hours ago

You are required to populate with your ABCDE assessment of your patients.

You must use this template to present your findings.

Within the ABCDE section of the template you must present the information in dot points.

Your actions/strategies must be supported by contemporary and relevant literature.

ABCDE Framework for Amelia (approx. 250 words)
	Assessment Findings	Actions/strategies
Airway
Breathing
Circulation
Disability
Exposure

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