This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A client, being tested for a stroke, is not a candidate for tPA. Which of the following would be ... (Read 35 times)

kfurse

  • Hero Member
  • *****
  • Posts: 590
on: Jun 25, 2018
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


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

heyhey123

  • Sr. Member
  • ****
  • Posts: 353
Reply #1 on: Jun 25, 2018
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

  • Member
  • Posts: 590
Reply 2 on: Jun 25, 2018
Thanks for the timely response, appreciate it

tandmlomax84

  • Member
  • Posts: 323
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

As the western states of America were settled, pioneers often had to drink rancid water from ponds and other sources. This often resulted in chronic diarrhea, causing many cases of dehydration and death that could have been avoided if clean water had been available.

Did you know?

Medication errors are more common among seriously ill patients than with those with minor conditions.

Did you know?

The Romans did not use numerals to indicate fractions but instead used words to indicate parts of a whole.

Did you know?

Cucumber slices relieve headaches by tightening blood vessels, reducing blood flow to the area, and relieving pressure.

Did you know?

For about 100 years, scientists thought that peptic ulcers were caused by stress, spicy food, and alcohol. Later, researchers added stomach acid to the list of causes and began treating ulcers with antacids. Now it is known that peptic ulcers are predominantly caused by Helicobacter pylori, a spiral-shaped bacterium that normally exist in the stomach.

An Edmontosaurus bone that was excavated in Alaska and tested at Temple University. An Edmontosaurus bone that was excavated in Alaska and tested at Temple University.
Graph of 3 compounds tested Graph of 3 compounds tested
Hemorrhagic and ischemic stroke. Hemorrhagic and ischemic stroke.
Example of simplified note for one-time client. Example of simplified note for one-time client.
Client and therapist positioning for foot reflexology. Client and therapist positioning for foot reflexology.
Survey and posture of client: Lateral view Survey and posture of client: Lateral view
Video: Mechanism of enzyme action

For a complete list of videos, visit our video library