I.

ITRODUCTION
The BSN4Y2-1 Group C was given the opportunity to have a hospital last June 20-25, June 27-30 and July 1-2 2016 at 7am-3pm shift and
on the said dates found a commendable case reasonable to be presented for the case study as agreed by the group.
This study hopefully would become one of the bases for innovation of the Philippine health care system especially in the Emergency
Room setting. The same study aims to be a means of research practice for the studied profession. Readers of the study are expectedly to be
educated in the case of taking care of patients. This is also targets to document the event which by the demand of time can be used for review or
recall about the subject event. In our part, this is essential for our realization of the said experience and which would make us a subject of
ourselves for improvement.
A Cerebrovascular Accident or stroke is infraction of a specific portion of the brain due to insufficient blood supply. It can occur fron an
occlusion of one of the major vessels feeding the brain, a partial or complete obstruction of a major intracranial vessel, or it can also be a
hemorrhage within the brain. The blood vessels affected dermines the area and extent of infarction.
There are risk factors prior to the recurrence of CVA such as hypertension, hypercholesterolemia, smoking, oral contraceptives use,
emotional stress, obesity, family history of stroke and age. This condition may alter the original circulation of blood, then leads to stroke. In line
with this, as we all know almost of the illicit drugs, alcohol and nicotine found in cigarettes are one of the potent vasoconstrictor.
Stroke depends primarilly on the lession or infracted tissue. If the brain stem is affected, blood pressure fluctuations altered respiratory
patterns and cardiac dysrythmias are all possible.
Coma can follow stroke fron various causes; strokes due to occusal disease (thrombus, embolus) rarely caused sudden death. When sudden
death thus occurs it is usually due to heart failure. Respiratory infection and brain stem failure are two primary causes of death with stroke.
According to the Philippine Nurses Association, the top 5 of the clinical diseases entities frequently studied were Cerebrovascular Disease,
infectious disease, neuromuscular diseases, epilepsy and demyelinating disease. For the past10 years, there has been an increasing trend in the
number of studies dealing with Cerebrovascualar Disease.
The group chose Ptient XX as our subject primarily because his case posed a very intricate case requiring due understanding and
knowledge. The group recognizes partial knowledge about CVA and the surgical procedures involved in such condition, thus making this case a
good avenue to broaden the proponents' knowledge about the disease.
Having awareness and gaining more knowledge about CVA would enchance our skills and attitudes in handling patients suffering from
this disease.

This case serves as a challenge for us student-nurses to be committed and dedicated health professionals for the next days, we will take
care of the health of the citizens.

II. STATEMENT OF OBJECTIVES

A. General Objectives
The main goal of the group is to be able to present the case study of our chosen client that would provide a comprehensive discussion of
the pathological mechanism of the disease to yield
significant information for the case study.
B. Specific Objectives
This case analysis aims to:
a.) Illustrate the pathophysiology of CVA.
b.) Discuss the medical intervention for the management of CVA.
c.) Formulate appropriate nursing care plan suited for the client based on the assessmant findings.
d.) Identify care measyres to be given to the patient and family to promote continuity of care and independence after discharge.

Drug Name

Classification

Action

Indication

Consideration

Works by inhibiting the

mucopeptide synthesis in
the bacterial cell wall. The
beta-lactam moiety of
Ceftriaxone binds to
carboxypeptidases,
endopeptidases, and
transpeptidases in the
bacterial cytoplasmic
membrane. These
enzymes are involved in
cell-wall synthesis and cell
division. By binding to
these enzymes,
Ceftriaxone results in the
formation of defective cell
walls and cell death.

Indicated in patients with

neurologic complications,
carditis and arthritis. It is
also effective in
Gramnegative infections;
Meningitis, Gonorrhea. It is
also for Bone and joint
infections, Lower
respiratory tract
infections ,middle ear
infection, PID ,Septicemia
and Urinary Tract infections.

Hypersensitive to
cephalosporin ,
penicillin and related
antibiotics.

Side Effect

Nursing Consideration

Genenricname:
Ceftriazone

3rd generation
cephalosporin.

Pain
Induration
Phlebitis
Rash
Diarrhea
Thrombocytosis
Leucopenia
Glossitis
Respiratory
super infections

Assess patients
previous sensitivity
reaction to penicillin or
other
cephalosphorins.
Assess patient for
signs and symptoms of
infection before and
during the treatment
Obtain C&S before
beginning drug
therapy to identify
if correct treatment
has been initiated.
Report signs such as
petechiae, ecchymotic
areas, epistaxis or
other forms
of unexplainedble
eding.
Monitor hematologic,
electrolytes, renal and
hepatic function.
Assess for possible
supper
infection :itching
fever, malise,
redness