I have been reading your post for almost a year now, and you have wonderful information and advice.
I know that this post was created several months ago, but I am experiencing this problem at the moment.
I had a patient this week that was admitted to the hospital after having a stroke. After my assessment on my patient I found him to be unresponsive, with irregular breathing (labored) with periods of apnea ( 30 sec). The patient had thick oral secretions in the back of his throat. These were his vitals at the time- temp (104.4), bp ( 65/34), pulse (106), resp(12) O2 (77). The patient had a previous stroke about 6 years ago (2001) which left him with left side paralysis. This second stroke was an ischemic stroke caused by a clot in the carotid artery (left)that extended into the middle cerebral artery .Thid patient was a DNR. Any help with this careplan is greatly appreciated! Sonya ( nursing student)