Thrombolytic Management Flashcards
What two thrombolytics are available for acute stroke treatment?
alteplase and tenecteplase
Which thrombolytic is FDA approved for acute stroke treatment?
alteplase
What is the blood pressure parameter needed to administer a thrombolytic?
<185/110 mmHg
What is the blood pressure parameter after a thrombolytic is administered?
<180/105 mmHg
What two complications are possible after a thrombolytic is administered?
Hemorrhage and Angioedema
What medications are held for 24 hours after a thrombolytic is administered?
Antiplatelets and Anticoagulants
What is needed to calculate a thrombolytic dose?
Accurate patient weight
What is the dose of alteplase to treat acute ischemic stroke?
0.9mg/kg/hr, max dose of 90mg
What is the dose of tenecteplase to treat acute ischemic stroke?
.25mg/kg IV push, max dose of 50mg
What is the next step when alteplase has finished infusing?
Run a 50cc bag of Normal Saline at the same administration rate as the alteplase