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Title: case study SABMiller worte Aidan McQuade The article questions case send email

  • Total Pages: 4
  • Words: 1327
  • References:4
  • Citation Style: APA
  • Document Type: Essay
Essay Instructions: case study of SABMiller worte by Aidan McQuade
The article questions of the case will send to you via emailemail
Excerpt From Essay:
References:


Commission, U.N. (2006). Foreign Investment in Latin America and The Carribean. New York: United Nations Publications .

Demamphilis, D. (2007). Mergers Acquisitions and Other Restructuring Activities. Cape Town: Academic Press.

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Title: CASE STUDY Mr Black a 61 year businessman watching 7pm television news developed sudden onset difficulty speaking drooping side mouth He lift arm stand His wife immediately called ambulance The paramedics FAST protocol assessed Mr Black a stroke transported a hospital acute stroke thrombolysis centre

  • Total Pages: 5
  • Words: 1398
  • References:8
  • Citation Style: MLA
  • Document Type: Research Paper
Essay Instructions: CASE STUDY

Mr Black, a 61 year old businessman was watching the 7pm television news when he developed sudden onset of difficulty in speaking and drooping of the right side of his mouth. He was not able to lift his right arm or stand up. His wife immediately called the ambulance. The paramedics, using the FAST protocol assessed Mr Black as having had a stroke and transported him to a hospital with an acute stroke thrombolysis centre. He was admitted to the Emergency Department at 8pm.

History obtained from wife.

Mr Black was diagnosed with hypertension 10 years ago for which he takes Metopropol daily. He smokes about one packet of cigarettes/day and drinks alcohol socially. There is no history of serious illnesses or allergies. His father died of a heart attack at the age of 60.



Vital signs

BP 150/80 mmHg
Pulse 90bpm and regular Respirations 20 breaths/minute Temperature 36.5? C
SaO2 95%

Neurological examination

Pupils equal - 2mm and reactive to light
Right facial droop
Paralysis of right arm and weakness of the right leg
Normal strength in the left arm and leg
Decreased sensation on right side of the body
Right knee and ankle reflexes moderately brisk compared with those on the left Plantar response is extensor on the right and flexor on the left
Difficulty with speech ? repeats yes to all questions

Laboratory tests

Full blood count ? all values within normal range
Blood glucose level ? 6.5 mmol/L
Electrolytes, urea and creatinine ? all values within normal range ECG ? normal sinus rhythm

CT brain scan (2hours from symptom onset)

No intracranial haemorrhage or mass lesions. Suggestion of early ischaemic changes in left hemisphere.

Diagnosis

Mr Black is diagnosed with a left middle cerebral artery distribution stroke. He is assessed as being eligible for thrombolytic therapy.

Management

IV Alteplase (8.1mL bolus over minute; 72.9 mL added to 50mL sodium chloride infused over 60 minutes via a volumetric control pump).

Continue antihypertensive medication

24 hours after completion of alteplase follow-up CT brain scan ? if bleeding excluded commence Assasantin? SR capsule twice a day.

PART 1 ? Pathophysiology template

Complete a pathophysiology template for an ischaemic stroke that affects the dominant left cerebral hemisphere (400 words).

PART 2- Questions related to the case study

(450 words)
Explain the pathogenesis that leads to the structural and functional changes resulting from Mr Black?s stroke.

(150 words)
Explain how two of Mr Black?s clinical manifestations are related to the structural and functional changes caused by the stroke.

(250 words)
Relating your discussion to the pathogenesis of Mr Black?s condition, explain the mode of action of Alteplase and Assasantin?.
Excerpt From Essay:
References:


Dzialowski, I.; Hill, M.D.; Coutts, S.B.; Demchuk, A.M.; Kent, D.M.; Wudnerlich, O. & von Kummer, R. (2006). Extent of early ischemic changes on computed tomography (CT) before thrombolysis: prognostic value of the Alberta Stroke Program Early CT Score in ECASS II. Stroke, 37(4), 973-978.

Mayo Clinic. (2011). Alteplase. Mayoclinic.com.

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