CLINICAL CARE 4
outcomes.
DIAGNOSIS
TWO:
Vertebrobasilar
Artery
oOcclusion
S.T
To increase
the level of
consciousness
and mitigation
of
neurological
abnormalities
L.T
To restore
mean arterial
pressure
(MAP) and
cerebral
perfusion
pressure (CPP)
To ensure the
difference
between
Intracranial
Pressure (ICP)
and MAP
balances with
the CPP
(Sadoughi,
Rybinnik, &
Cohen, 2013)
1. Hemodynami
c
Management
2. Respiratory
Management
3. Thrombolysi
s
4. Anticoagulati
on Therapy
(Heparin
Infusion)
5. Angioplasty
and
Endovascular
Therapy
1. Under ischemic
impairments, blood flowing
in cerebral region depends
on pressure (Nouh, Remke,
& Ruland, 2014). The goal
is to achieve the desired
autoregulation of 50 to 150
mm Hg MAP.
2. This intervention is needed
because the airway
functionality depends on the
lower cranial nerves.
Unconsciousness among
patients and impairment of
cranial nerves (Derdeyn et
al., 2014).
3. Thrombolysis is not
favorable for patients above
80 years with a history
coexistence of diabetes and
stroke (Strbian et al., 2013).
This intervention is essential
because it is highly effective
when treating acute
ischemic stroke
complications within a
three-hour window of onset
(Nouh, Remke, & Ruland,
2014).
4. This intervention is
important because it
prevents coagulation while
optimizing long-term
outcomes.
5. It is effective in preventing
thrombosis (Broderick et al.,
2013; Ciccone et al., 2013).
There is a possibility of
thrombosis occurring within
the segments of stenosed
arteries (Hatano &
Tsukahara, 2014; Alexander
et al., 2015).
i. A tidal volume of 5-8 mL/kg
should be achieved under
ventilation especially in the
absence of pulmonary
comorbidities.
ii. The systolic blood
pressure (SBP) should be
between 130 and 140 mm
Hg.
iii. The interventions
should restore motor, verbal
and pupil response (Strbian
et al., 2013).
iv. There should be
improved coordination with
support, which should
stabilize with time.
v. Patient should be able
to achieve the desired
oxygen saturation on room
air without artificial
ventilation (greater than
90%)
vii. A stable body
temperature between 360C -
370C and a corresponding pain
scale less than 2/10 should be
equally recorded.

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Clinical Care: Case Study 2022

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