Sensory-Neurologic System Case Study
You are caring for a 67-year-old female patient who was admitted to the hospital for headache and vertigo. When you enter the patient’s room she is lying in her bed and appears to be sleeping. She does not respond when you address her by name and looks pale, her significant other is at the bedside.
Mental Status: No verbal response, flexes right arm to pain, no eye opening
Airway: Open and clear
Breathing: RR irregular at 14
Circulation: Skin normal color and dry, Radial pule slightly irregular at 32, BP 160/80
Other Findings: Temperature 37 C, pulse oximetry 97%, left pupil unreactive
Events: The patient was admitted to hospital after complaining of a headache for the
last several days. Her husband states that earlier today she vomited several
times and got so dizzy she just couldn’t walk or even sit up in bed.
Previous Illness: Hypertension
- What is the patient’s Glasgow Coma Score? (include the total score and the individual scores for each area)
- What is the relationship between posturing and a history of headache with hypertension?
- Is there a relationship between the irregular respirations, bradycardia, and BP?
- What is the pathophysiologic process that has resulted in the patient’s irregular respirations, bradycardia, and BP?
- Is there any additional health history information that would be important for you to know?