Intracranial Regulation Case Study Mr. James Hobson is a 69-year-old male with a history of hypertension that is well controlled on medication. He has been smoking 1 or 2 packs of cigarettes a day for the past 52 years and has a body mass index of 37.3. He awoke yesterday morning complaining of blurry vision and some weakness on the left side of his body. He thought he had just slept wrong, so he was not concerned. Later in the morning he was having trouble walking and his wife convinced him to call his physician. The physician's office called 911, and Mr. Hobson was transported to the nearest hospital. Upon arrival to the emergency department the physical etam findings were- HR 112 beats/min, BP 172/90 mm Hg, RR 24 breaths/min, O2 Sat 90%, leg arm and leg weakness (3/5), and somewhat decreased sensation. He was awake and responding to questions appropriately, though slowly. The following diagnostics tests were ordered: noncontract CT (NCCT) of the head; ECG; CBC with platelets, cardiac enzymes, and troponin; electrolytes; BUN; creatinine; glucose; PT/INR; and PTT. This patient's CT scan did not show any signs of hemorrhage. Note: Currently, thrombolytics are administered to treat an ischemic stroke within 3 hours of symptom onset. Studies are underway to evaluate the safety and efficacy of extending this window to 4 hours. Because it was unclear exactly when the symptoms began, the decision was made not to administer a thrombolytic. Question: Discuss the nursing assessments for Mr. Hobson..

1. Intracranial Regulation Case Study
Mr. James Hobson is a 69-year-old male with a history of hypertension that is well controlled on
medication.
He has been smoking 1 or 2 packs of cigarettes a day for the past 52 years and has a body mass
index of 37.3. He awoke yesterday morning complaining of blurry vision and some weakness on
the left side of his body. He thought he had just slept wrong, so he was not concerned. Later in the
morning he was having trouble walking and his wife convinced him to call his physician.
The physician's office called 911, and Mr. Hobson was transported to the nearest hospital. Upon
arrival to the emergency department the physical etam findings were- HR 112 beats/min, BP
172/90 mm Hg, RR 24 breaths/min, O2 Sat 90%, leg arm and leg weakness (3/5), and somewhat
decreased sensation. He was awake and responding to questions appropriately, though slowly.
The following diagnostics tests were ordered: noncontract CT (NCCT) of the head; ECG; CBC with
platelets, cardiac enzymes, and troponin; electrolytes; BUN; creatinine; glucose; PT/INR; and PTT.
This patient's CT scan did not show any signs of hemorrhage.
Note: Currently, thrombolytics are administered to treat an ischemic stroke within 3 hours of
symptom onset. Studies are underway to evaluate the safety and efficacy of extending this window
to 4 hours. Because it was unclear exactly when the symptoms began, the decision was made not
to administer a thrombolytic.
Question: Discuss the nursing assessments for Mr. Hobson.