Nursing Care for Acute Stroke Before Transfer to The Stroke Fast Track : Case Study

Abstract

     The purpose of this study was to study information on illness, risk factors, pathology, signs and symptoms, treatment, and nursing care for patients with ischemic stroke or acute ischemic stroke using two case studies from the pre-hospital stage. (Pre-hospital) Hospital treatment period (In-hospital) and later distributed by referral to the host hospital. (Post-hospital) Methods: The study investigators selected patients with ischemic stroke or acute blockage. who received treatment for emergency accident and forensic work Thung Tako Hospital and sold by forwarding on the Stroke Expressway (Stroke Fast Track), Lang Suan Hospital. Between 1 November 2022 and 31 December 2023, 2 cases. Results of the study. Comparative study of nursing care for patients with ischemic stroke or acute ischemic stroke, case study, 2 cases, found that There are common risk factors for birth: gender and age, which are factors that cannot be controlled. As for the different risk factors, Case 1 has 2nd degree obesity. Case 2 has had high blood pressure for 26 years and has risky behavior from smoking and drinking alcohol. Pathological signs and symptoms Including the treatments for both cases are similar. But the second case study received Nicardipine intravenously. Before and during referral for Stroke fast track due to elevated blood pressure at initial admission for nursing diagnosis and treatment Period before reaching the hospital There is a difference. Case study 1: Symptom recognition and management methods when suspected of a stroke are delayed. This makes the time since the onset of symptoms Until the witness was taken to the hospital for a period of 2 hours, while the second case was aware of important clinical symptoms and management of stroke symptoms. By using emergency medical services This makes the time since the onset of symptoms Until being transported to the hospital, the duration was 30 minutes and the patient received initial treatment. From the scene of the incident But during the delivery, there was a problem in communication technology while transporting the patient to the hospital. make communication In order to prepare for receiving patients, there is no continuity. length of time in hospital Had the same medical treatment according to the Stroke fast track protocol. The difference was that case 1 was at risk of having a stroke due to having high blood pressure when first admitted. Therefore, he received medication to reduce blood pressure according to the treatment plan. and during transfer to the stroke expressway Lang Suan Hospital, both patients received nursing care according to the Stroke fast track protocol continuously. and the follow-up period for treatment results, both patients received CT Brain and received recombinant tissue plasminogen activator (rt-PA) in time, within 4.5 hours, and there were no complications from receiving the drug.