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Acute Left MCA Ischemic Stroke Management Protocol Guide

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Acute Left Mca Ischemic: For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

History and Physical
0715:
56-year-old client admitted through the emergency department after experiencing loss of motor and language function. Upon assessment, global aphasia and right-sided hemiplegia are noted. History of diabetes mellitus type 1 and atrial fibrillation. CT scan and angiogram indicates large ischemic area to left middle cerebral artery. Admitted to medical intensive care unit for stabilization.

Potential Order Anticipated Nonessential Contraindicated
Insert endotracheal tube now
Perform electroencephalogram
Administer diazepam 5 mg IV now
Schedule emergent vagal nerve stimulation insertion
Administer glucose 50 mg IV now
Administer oxygen at 6 L via mask

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