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Skills Practicum

Skills Practicum. You – Are working in the Poly-Clinic . Your patient: Is a 45 year old male . 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.

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Skills Practicum

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  1. Skills Practicum

  2. You – Are working in the Poly-Clinic

  3. Your patient: Is a 45 year old male

  4. 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 Patient History:

  5. What do you do?

  6. 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 What do you do?

  7. Checking pupils - normal? Yes or No?

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

  9. Orders CT Scan Doctor assess the patient

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

  11. 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 do you do?

  12. What is going on with the patient?

  13. Headache, Right sided weakness

  14. 154 97 Blood pressure 154/97Is this okay? Why or why not?What would you do?

  15. Heart in Arial Fibrillation – why is this a problem?

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

  17. 184 100 Lethargic, speech is slurredBlood pressure 184/100Is this okay? Why or why not?

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

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