Author Question: A patient in the emergency department developed stroke symptoms one hour ago. Which type of drug ... (Read 98 times)

evelyn o bentley · **on:** Jul 23, 2018

A patient in the emergency department developed stroke symptoms one hour ago. Which type of drug will the nurse expect to administer to resolve this problem?

a. Thrombolytic
b. Thrombin inhibitor
c. Antiplatelet drug
d. Clotting factor synthesis inhibitor

Question 2

The nurse is teaching a patient about the use of nonsteroidal anti-inflammatory drugs (NSAIDs). Which statement made by the patient indicates that more teaching is needed?

a. I should avoid taking acetaminophen (Tylenol) any time I am also taking an over-the-counter NSAID.
b. Because aspirin causes me to have asthma, I should never take another NSAID like ibuprofen (Advil).
c. I should try to avoid taking any NSAID, even over-the-counter NSAIDs, for more than a few days or a week.
d. Because Celebrex (celecoxib) has so few side effects, I don't have to worry about how often I take it.

BAOCHAU2803 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
When an ischemic stroke occurs there is an existing clot in an artery in the brain. To resolve this problem early after symptoms develop, a thrombolytic drug (clot buster) is prescribed. These drugs must be administered within 3 hours of the onset of symptoms for stroke. Thrombin inhi-bitors and clotting factor synthesis inhibitors prevent new clots from forming and existing clots from getting larger. Antiplatelet drugs prevent platelets from clumping together (aggregating).

Answer to Question 2

D
Because celecoxib mostly suppresses the COX-2 pathway, allowing the normal housekeeping functions of the COX-1 pathway to continue, it has fewer side effects than COX-1 NSAIDs. However, if a patient takes more than the prescribed dose, the side effects are the same as for the COX-1 NSAIDs. This drug does not affect platelet action and blood clotting. So, bruising and gum bleeding are not expected side effects.