Skills Practicum. You – Are working in the Poly- Clinic.

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Presentation transcript:

Skills Practicum

You – Are working in the Poly- Clinic

Your patient: Is a 45 year old male

Patient History: Chief complaint of Right sided weakness and blurred vision Pt states he is feeling over-tired Reports he was having trouble talking for a few minutes Says he couldn’t lift his Right arm earlier

What do you do?

Blood Pressure 154/97 Heart Rate 95 Respiration Rate 18 Pulse Oximetry 92% on Room Air Temperature 36.5 Celsius Check pupils Check neuro status ◦Face ◦Arms ◦Speech

Checking pupils - normal? Yes or No?

Doctor assesses the patient Orders ECG What is this ECG rhythm?

Doctor assess the patient Orders CT Scan

You come back to check on the patient and find. Patient is laying on table - lethargic and you cannot understand him. ◦What do you do?

What do you do? Blood Pressure 184/100 Heart Rate 95 Respiration Rate 26 and shallow Pulse Oximetry 89% on Room Air Temperature 36.5 Celsius Check pupils Check neuro status Call for assistance Continue to watch the patient and Protect the Airway

What is going on with the patient?

Headache, Right sided weakness

Blood pressure 154/97 Is this okay? Why or why not? What would you do?

Heart in Arial Fibrillation – why is this a problem?

When you went back to check on the patient – was he better or worse? What makes you think he was better or worse?

Lethargic, speech is slurred Blood pressure 184/100 Is this okay? Why or why not?

Since your patient was worse when you went back to check on him, what would you do?