Author Question: Which myocardial infarction patient listed below would be a candidate for reteplase (Retavase) ... (Read 14 times)

altibaby · **on:** Jul 23, 2018

Which myocardial infarction patient listed below would be a candidate for reteplase (Retavase) therapy?

1. 54-year-old female with type 2 diabetes
2. 45-year-old female with a 2-week-old cranial artery repair
3. 62-year-old with a recent hemorrhagic stroke
4. 70-year-old male with active GI bleed

Question 2

A patient asks which conditions will cause his heart to need more oxygen. The nurse answers with which statement(s)?

1. Increasing physical activity.
2. Watching a television show.
3. Emotional stress.
4. Eating a meal.
5. Listening to music.

Ddddd · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale: Contraindications for reteplase therapy include a history of CVA (stroke), recent surgical procedure, and active bleeding.

Answer to Question 2

Correct Answer: 1,3
Rationale 1: Increased physical activity requires more cardiac output, increasing the work of the heart and increasing myocardial oxygen demand.
Rationale 2: Watching a television show generally does not require more cardiac output.
Rationale 3: Emotional stress causes epinephrine release, increasing heart rate and contractility and increasing myocardial oxygen demand.
Rationale 4: Eating a meal generally does not require more cardiac output.
Rationale 5: Listening to music generally does not require more cardiac output.