NEUROLOGY
HEMIPARESIS
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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A client is diagnosed with an ischemic stroke. For which reason(s) would the nurse question the use of tissue plasminogen activator (tPA) for this client? Select all that apply.
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Prothrombin time 10 seconds
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Platelet count 95, 000/mm3
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Received low-molecular weight heparin injections twice a day
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Diastolic blood pressure 120 mm Hg
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Systolic blood pressure 198 mm Hg
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Explanation:
Detailed explanation-1: -Because TPA is a powerful blood thinner, the main side effect is bleeding.
Detailed explanation-2: -tPA quickly dissolves the clots that cause many strokes. By opening a blocked blood vessel and restoring blood flow, tPA can reduce the amount of damage to the brain that can occur during a stroke. To be effective, tPA and other drugs like it must be given within a few hours of the stroke symptoms beginning.
Detailed explanation-3: -Ischemic stroke happens when blood flow to the brain is blocked by a blood clot. Thrombolytic therapy (tissue plasminogen activator: tPA) is a strong clot-busting medication, given intravenously, that dissolve the blood clot and reconstitute the blood flow and oxygen to the brain.
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