Case study two: A 49 year old patient, Nicole Mettaring, identifies as a Wadawurrung woman. Mrs Mettaring was admitted to the emergency department with sudden onset of right-sided weakness and slurred speech.

Case study two

A 49 year old patient, Nicole Mettaring, identifies as a Wadawurrung woman. Mrs Mettaring was admitted to the emergency department with sudden onset of right-sided weakness and slurred speech. Her medical history includes hypertension and Atrial Fibrillation. She currently takes atenolol 25mg mane and warfarin 3mg daily.

Upon assessment, Mrs. Smith was found to have right-sided weakness and reduced sensation. She was also found to have slurred speech and difficulty in understanding language. Her blood pressure was elevated at 160/90 mmHg, HR of 86 bpm, RR 14, temp 37.0 and SpO2 of 97% on room air. She also confides in you that she sometimes forgets to take her warfarin. Her INR is 1.5

Mrs Mettaring is given alteplase IV and recommenced on oral warfarin 5mg once a day with daily INR.