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Case scenario Cerebrovascular Accident (CVA) History of present illness Ibrahim is a 65 year old retired employee. Who has experienced sudden onset slurring of speech, had facial droop on his left hand side with weakness in left side upper and lower limbs. his wife has spotted these sudden onset of symptoms and immediately called for an ambulance, which arrived within 15 mins, pt arrived to ER conscious, Confused, VS BP 140/90 mmHg, Pulse 75 b/m, RR 14, temp 36,7 c. on physical exam showed Left Facial Droop, Left Motor Weakness: Upper Limb 0/5, Lower Limb 2/5, Slurred Speech, Decreased Tone, Altered Sensation. Glasgow Coma Scale: Eye opening: open on verbal commands Verbal response: confused Motor response: withdraw with pain Dr Order: ER intern has ordered CBC, ECG, URIN ANALYSIS, lipid profile, coagulation profile, brain CT, MRI, ng tube insertion. 21. Nursing process points Assessment subjective objective data) Nursing diagnosis Nursing planning (goals &objectives Nursing intervention and health education Nursing evaluation Rational
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