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 Case#6 12/05/07
The Brain attack
A 69 y/o male, previously healthy except for a history of HTN, presents with an acute episode of dysphasia and right arm and leg weakness. His family noted his slurred speech 40 minutes ago while sitting in a chair, and when he went to stand up, he was unable to bear weight on his right side. His NIHSS (National Institute of Health Stroke Scale) Score is 15. BP is 150/80, pulse of 85, and RR 18. He is afebrile.
1. How is the NIH stroke scale score calculated? What does the number mean?
2. Should you give Aspirin?
3. If this patient receives TPA, and then suddenly deteriorates neurologically, what do you do?
Click here for answers and to respond
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Previous Articles
Trauma (11/27/07)
Trauma (11/20/07)
Neurologic (11/13/07)
Pediatric (11/12/07)
Cardiovascular (10/29/07)
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