A client, being tested for a stroke, is not a candidate for tPA. ...

[kfurse]

A client, being tested for a stroke, is not a candidate for tPA. Which of the following would be contraindicated for the use of tPA? (Select all that apply.)
 
  1. Minor ischemic stroke within 30 days
  2. Glucose level 120 mg/dL
  3. Blood pressure 190/120 mmHg
  4. Lumbar puncture 2 days ago
  5. Stroke onset 5 hours ago
  6. INR 1.0

Question 2

A client diagnosed with a brain tumor is going to receive chemotherapy. The nurse realizes that which of the following medications would most likely be prescribed for this client's treatment?
 
  1. Carmustine
  2. Digoxin
  3. Aminophylline
  4. Acetaminophen

[heyhey123]

Answer to Question 1

1, 3, 4, 5
Contraindications of tPA to treat an embolic stroke include minor ischemic stroke within the last 30 days, blood pressure greater an 185 mmHg systolic or greater than 110 mmHg diastolic, lumbar puncture within the last 3 days, and onset of stroke greater than 3 hours. Glucose level of 120 mg/dL and INR of 1.0 would not be contraindications for tPA therapy.

Answer to Question 2

1
One of the biggest obstacles for chemotherapeutic agents when treating brain tumors is selecting a medication that will cross the blood-brain barrier. Carmustine can cross the blood-brain barrier. The other medications are not used as chemotherapy for brain tumors.

[kfurse]

Thanks for the timely response, appreciate it

[jamesnevil303]

Excellent