This nursing care plan is for a patient named Saifullah Patel who suffered a hemorrhagic stroke. The nursing diagnosis is decreased intracranial adaptive capacity. The goals are for the patient to have no signs of stroke activity during their 8-hour shift and to not exhibit any neurologic deficits. The interventions include assessing the patient's neurologic status and level of consciousness, administering the prescribed medication Levetricetam as directed, and monitoring vital signs. The rationale is that decreased consciousness is a sign of increased intracranial pressure, and the medication can reduce pressure and prevent seizures while frequent vital sign monitoring ensures blood pressure and temperature remain stable.
This nursing care plan is for a patient named Saifullah Patel who suffered a hemorrhagic stroke. The nursing diagnosis is decreased intracranial adaptive capacity. The goals are for the patient to have no signs of stroke activity during their 8-hour shift and to not exhibit any neurologic deficits. The interventions include assessing the patient's neurologic status and level of consciousness, administering the prescribed medication Levetricetam as directed, and monitoring vital signs. The rationale is that decreased consciousness is a sign of increased intracranial pressure, and the medication can reduce pressure and prevent seizures while frequent vital sign monitoring ensures blood pressure and temperature remain stable.
This nursing care plan is for a patient named Saifullah Patel who suffered a hemorrhagic stroke. The nursing diagnosis is decreased intracranial adaptive capacity. The goals are for the patient to have no signs of stroke activity during their 8-hour shift and to not exhibit any neurologic deficits. The interventions include assessing the patient's neurologic status and level of consciousness, administering the prescribed medication Levetricetam as directed, and monitoring vital signs. The rationale is that decreased consciousness is a sign of increased intracranial pressure, and the medication can reduce pressure and prevent seizures while frequent vital sign monitoring ensures blood pressure and temperature remain stable.
GOALS/OBJECTIVES OUTCOMES/EVALUATION Patient will have -No Decreased Intracranial Signs of Stroke activity Assess the Patient’s A decreased LOC is the first During 8hrs shift there was adaptive Capacity during 8hoir shift. neurologic status, including sign of increased intracranial no Signs of stroke. Good level of consciousness. What Pressure. This change usually (see the patient goal) What is the nursing Patient will not exhibit was the LOC? presents as increasing Patient shows Stable Blood Absence of neurologic restlessness, irritability, or Pressure. (B/P maintained at diagnosis R/T? deficits. Administer Medicine as agitation. The patient may ? what was his last B/P prescribed (Levetricetam). become disoriented and AEB what other Patient will maintain confused. Stable Neurologic Status Write out the medication dose, evidence is there, what base v/S Stable BP route, how often? What was the neurological about his MRI, or CT Monitor vital signs as Medicine (Levetricetam) status scan? needed. v/s should be reduces intracranial Pressure Vital Signs monitored at least twice a and cerebral metabolism. T: 98.4 shift. Prevents seizure activity P: 83 R: 17 For the safety the frequent BP: 134/76 assessment of BP is essential. Elevated B/P increases intracranial pressure and elevated temp can result in seizure activity.