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Stroke Case Study

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Stroke Case Study

Scenario:

You are at base when you get dispatched code 4 to 100 Me She Ka St, Christian Island, Ontario for a 75 y/o female patient possible CVA. On arrival you find a frantic husband stating the patient (his wife) was making breakfast when she suddenly collapsed. The symptoms started 10 minutes prior to calling 911. The patient is suffering from left sided paralysis with slurred speech. She lives on Christian Island and needs to take a ferry to get to the nearest hospital. She has a history of atrial fibrillation and TIA’s, and the patient also smokes 2 packs of cigarettes a day. She’s on ASA, digoxin, ramipril, metoprolol. She has an allergy to penicillin and bee stings. The patient shows a-fib on the monitor and vital signs and GCS are normal. Pupils are PEARL at 3mm.

Patient name: Myrtle Bellamee
Birthday: 1938/01/10
Health card number: 1284569735 VR

Treatment with the Ontario Stroke Strategy

The Ontario Stroke System (OSS) is a comprehensive and integrated approach that aims to decrease the incidence of a stroke and improve patient care and outcomes for those who’ve experienced a stroke.

The treatment plan that Mrs Myrtle Bellamee would have been on before this incident would be a very common strategy due to her history of cerebrovascular accident (CVA) or a stroke, atrial fibrillation and her previous transient ischemic attack (TIA). She would have been on a low dose antiplatelet drug, which she currently is; she is taking acetylsalicylic acid (ASA). She would also be place on blood pressure medications to control her hearts pressure; like the similar drug she is taking, metoprolol and ramipril. To control her irregular heart of atrial fibrillation she would be prescribed digoxin which she was also on. The doctor could also have prescribed her some cholesterol

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