Thrombolysis Contraindications

Question 1

What is an absolute contraindication to thrombolytic therapy?

Answer 1

Any prior intracranial hemorrhage

Absolute contraindications are conditions that completely rule out the use of thrombolytic therapy.

Question 2

List three absolute contraindications to thrombolytic therapy.

Answer 2

• Known intracranial malformation or neoplasm
• Ischemic stroke <3 months
• Recent surgery

These contraindications indicate conditions where thrombolytic therapy is not advised.

Question 3

What is a relative contraindication to thrombolytic therapy?

Answer 3

> 75 years of age

Relative contraindications may increase the risk of complications but do not completely preclude treatment.

Question 4

Fill in the blank: A recent head trauma is considered an _______ contraindication to thrombolytic therapy.

Answer 4

absolute

Question 5

What is one relative contraindication for patients with AF?

Answer 5

Current anticoagulants

Question 6

True or False: Uncontrolled hypertension (180/110 mmHg) is an absolute contraindication to thrombolytic therapy.

Answer 6

False

Uncontrolled hypertension is categorized as a relative contraindication: control it!

Question 7

What time frame defines a recent internal bleed that is a relative contraindication?

Answer 7

2-4 weeks

A recent internal bleed can significantly increase the risk of bleeding complications.

Question 8

List two conditions that are considered absolute contraindications to thrombolytic therapy.

Answer 8

• Bleeding diathesis
• Suspected dissection

These conditions indicate a high risk of serious complications if thrombolytic therapy is administered.

Question 9

Fill in the blank: Major surgery within _______ weeks is a relative contraindication to thrombolytic therapy.

Answer 9

3

Question 10

What is a contraindication related to age for thrombolytic therapy?

Answer 10

> 75 years of age

Age can be a significant factor in assessing the risk vs. benefit of thrombolytic therapy.