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Pharm 2
Thrombolytic Therapy
Question | Answer |
---|---|
A nurse is preparing to administer alteplase. The nurse would gather equipment knowing that alteplase would be administered by which route? | Intravenously (IV) |
A patient who was found unconscious was found to have a large, acute pulmonary embolism and was given alteplase. The patient’s family asks the nurse why alteplase was given rather than warfarin. Which response would the nurse make? | “Alteplase is a thrombolytic that is used to dissolve large clots to restore circulation. Warfarin only prevents clots from forming.” |
A patient with healing stab wounds to the arms and legs is brought to the emergency department with complaints of chest pain. The patient was diagnosed with acute myocardial infarction, and alteplase was prescribed. | -- |
The nurse would closely monitor the patient for which complications following the administration of alteplase? | Bleeding |
A patient on thrombolytic therapy experiences severe bleeding. The nurse anticipates the administration of which medication? | Aminocoproic acid |
A patient who has a pulmonary embolism is prescribed alteplase. The review of the patient history reveals an ischemic stroke 4 months ago. Which action would the nurse take? | Notify the health care provider. |
Which adverse effects would the nurse teach the patient to report during thrombolytic therapy? | -Rapid heartbeat -Rashes -Lightheadedness -Dizziness |
A patient is being discharged 2 days after being treated with alteplase for acute myocardial infarction (MI). Which statement made by the patient indicates a need for additional teaching? | "I will need to continue to shave with an electric razor." |