Thrombolytics Flashcards
What are thrombolytics used for?
Thrombolytics are used to dissolve blood clots in conditions like myocardial infarction, stroke, and pulmonary embolism.
True or False: Thrombolytics can be used for patients with active bleeding.
False
What is the primary action of thrombolytics?
The primary action of thrombolytics is to activate plasminogen, converting it to plasmin, which breaks down fibrin in blood clots.
Name a common thrombolytic agent.
Alteplase (tPA) is a common thrombolytic agent.
Fill in the blank: Thrombolytics are contraindicated in patients with a history of _______.
hemorrhagic stroke
What are two major adverse effects of thrombolytics?
Major adverse effects include bleeding and allergic reactions.
When should thrombolytics be administered for a myocardial infarction?
Thrombolytics should be administered within 12 hours of the onset of symptoms for a myocardial infarction.
Multiple choice: Which of the following is NOT a contraindication for thrombolytics? A) Recent surgery B) Uncontrolled hypertension C) Diabetes
C) Diabetes
What nursing intervention is important after administering thrombolytics?
Monitoring for signs of bleeding is an important nursing intervention after administering thrombolytics.
True or False: Thrombolytics can be used in patients with a history of recent ischemic stroke.
False
What is the role of nursing education regarding thrombolytics?
Nursing education should include information on the purpose, potential side effects, and the importance of reporting any unusual symptoms.
Fill in the blank: The risk of _______ increases with thrombolytic therapy.
hemorrhage
What is one nursing consideration before administering thrombolytics?
Obtain a thorough patient history to identify any contraindications before administering thrombolytics.
Name one indication for the use of thrombolytics.
Acute ischemic stroke is an indication for the use of thrombolytics.
What monitoring parameter is critical for patients receiving thrombolytics?
Vital signs and neurological status should be closely monitored.
True or False: Thrombolytics can be administered via oral route.
False
What is the maximum time window for administering thrombolytics in acute stroke?
The maximum time window is typically within 3 to 4.5 hours of symptom onset.
Multiple choice: Which of the following is a potential complication of thrombolytic therapy? A) Thrombosis B) Hemorrhage C) Hypertension
B) Hemorrhage
What is the mechanism of action for thrombolytics?
Thrombolytics work by converting plasminogen to plasmin, which breaks down fibrin in clots.
Fill in the blank: Thrombolytics should be used cautiously in patients with _______.
recent trauma
What should be done if a patient experiences an allergic reaction to thrombolytics?
Stop the infusion and provide supportive care as needed.
What is the significance of baseline lab tests before thrombolytic therapy?
Baseline lab tests help assess coagulation status and identify any contraindications.
True or False: Thrombolytics can be used for chronic venous thromboembolism.
False
What patient education should be provided regarding the signs of bleeding?
Patients should be educated to report any unusual bruising, blood in urine or stool, or prolonged bleeding.
