Home Page Flashcards Thrombolytics - Flashcards

Thrombolytics – Flashcards

Kenneth Miller

7 July 2022

question

What is the main difference between anticoagulant drug therapy and thrombolytic drug therapy?

answer

Anticoagulants are given to prevent thrombus formation. Thrombolytic drugs are given to remove thrombi that have already formed.

question

What substance does alteplase combine with first in order to form an active complex?

answer

Plasminogen

question

Where is alteplase excreted?

answer

Kidney (urine)

question

Which documented assessment finding by the nurse is a relative contraindication to thrombolytic therapy?

answer

History of dementia

question

Mr. Zappetti is complaining of pain at the venipuncture site. Which pain medication would be appropriate to administer after thrombolytic therapy?

answer

Acetaminophen

question

Which conditions are contraindicated for thrombolytic therapy?

answer

1. Recent cerebrovascular accident (CVA) 2. Active bleeding, severe hypertension 3. Anticoagulant therapy 4. Brain tumor

question

During thrombolytic therapy, an increased pulse rate followed by decreased blood pressure usually indicates which emergency?

answer

Blood loss and impending shock

question

The nurse should instruct a patient taking alteplase to immediately report which symptom(s) to the health care provider?

answer

1. Nosebleeds 2. Tarry stools 3. Bleeding gums

question

Why is it important for the nurse to inquire about cultural practices when educating patients about Western health care?

answer

Nurses should seek to incorporate patients' practices and values in patient education.

question

Alteplase is a large molecule that must be administered by which route?

answer

Intravenous (IV)

question

Where does alteplase metabolism occur?

answer

Liver

question

A patient diagnosed with pulmonary embolism is prescribed alteplase. The patient asks the nurse why an anticoagulant was not prescribed. How should the nurse respond?

answer

Thrombolytic drugs are used to remove thrombi that have already formed.

question

What is the duration of action with alteplase?

answer

3 hours

question

A patient on thrombolytic therapy experiences several bleeding. The nurse anticipates the administration of which medication?

answer

Aminocoproic acid

question

A patient who has a pulmonary embolism is prescribed alteplase. The review of history reveals an ischemic stroke 4 months ago. Which action should the nurse take?

answer

Notify the health care prescriber.

question

A patient prescribed alteplase reports a headache with pain 6 out of 10 on a numeric scale. Which medication should the nurse be prepared to administer to this patient?

answer

Acetaminophen

question

How often should the nurse assess the patient for active bleeding during the first 24 hours?

answer

Every hour

question

Which laboratory values are critical for the nurse to check before administering thrombolytic therapy?

answer

Hematocrit, platelet count, blood glucose, thrombin time, prothrombin time, activated partial thromboplastin time, and fibrinogen levels

question

What side effects should the nurse teach the patient to report during thrombolytic therapy?

answer

1. Rapid heartbeat 2. Nausea 3. Lightheadedness 4. Dizziness

question

How can the nurse assess comprehension in the patient receiving education about thrombolytic drug therapy?

answer

The nurse should ask the patient to repeat back the teaching offered by the nurse.

question

A nurse has provided instructions to a patient who received alteplase. Which statement indicates that the patient needs further instruction?

answer

"I am going to shave this afternoon."

1 of

Unlock all answers in this set

Unlock answers

question

What is the main difference between anticoagulant drug therapy and thrombolytic drug therapy?

answer

Anticoagulants are given to prevent thrombus formation. Thrombolytic drugs are given to remove thrombi that have already formed.

question

What substance does alteplase combine with first in order to form an active complex?

answer

Plasminogen

question

Where is alteplase excreted?

answer

Kidney (urine)

question

Which documented assessment finding by the nurse is a relative contraindication to thrombolytic therapy?

answer

History of dementia

question

Mr. Zappetti is complaining of pain at the venipuncture site. Which pain medication would be appropriate to administer after thrombolytic therapy?

answer

Acetaminophen

question

Which conditions are contraindicated for thrombolytic therapy?

answer

1. Recent cerebrovascular accident (CVA) 2. Active bleeding, severe hypertension 3. Anticoagulant therapy 4. Brain tumor

question

During thrombolytic therapy, an increased pulse rate followed by decreased blood pressure usually indicates which emergency?

answer

Blood loss and impending shock

question

The nurse should instruct a patient taking alteplase to immediately report which symptom(s) to the health care provider?

answer

1. Nosebleeds 2. Tarry stools 3. Bleeding gums

question

Why is it important for the nurse to inquire about cultural practices when educating patients about Western health care?

answer

Nurses should seek to incorporate patients' practices and values in patient education.

question

Alteplase is a large molecule that must be administered by which route?

answer

Intravenous (IV)

question

Where does alteplase metabolism occur?

answer

Liver

question

A patient diagnosed with pulmonary embolism is prescribed alteplase. The patient asks the nurse why an anticoagulant was not prescribed. How should the nurse respond?

answer

Thrombolytic drugs are used to remove thrombi that have already formed.

question

What is the duration of action with alteplase?

answer

3 hours

question

A patient on thrombolytic therapy experiences several bleeding. The nurse anticipates the administration of which medication?

answer

Aminocoproic acid

question

A patient who has a pulmonary embolism is prescribed alteplase. The review of history reveals an ischemic stroke 4 months ago. Which action should the nurse take?

answer

Notify the health care prescriber.

question

A patient prescribed alteplase reports a headache with pain 6 out of 10 on a numeric scale. Which medication should the nurse be prepared to administer to this patient?

answer

Acetaminophen

question

How often should the nurse assess the patient for active bleeding during the first 24 hours?

answer

Every hour

question

Which laboratory values are critical for the nurse to check before administering thrombolytic therapy?

answer

Hematocrit, platelet count, blood glucose, thrombin time, prothrombin time, activated partial thromboplastin time, and fibrinogen levels

question

What side effects should the nurse teach the patient to report during thrombolytic therapy?

answer

1. Rapid heartbeat 2. Nausea 3. Lightheadedness 4. Dizziness

question

How can the nurse assess comprehension in the patient receiving education about thrombolytic drug therapy?

answer

The nurse should ask the patient to repeat back the teaching offered by the nurse.

question

A nurse has provided instructions to a patient who received alteplase. Which statement indicates that the patient needs further instruction?

answer

"I am going to shave this afternoon."

Thrombolytics – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards