Author Question: Which of the following would indicate successful reperfusion after administration of a fibrinolytic ... (Read 92 times)

humphriesbr@me.com · **on:** Jun 25, 2018

Which of the following would indicate successful reperfusion after administration of a fibrinolytic agent? (Select all that apply.)

a. Gradual decrease in chest pain
b. Intermittent, multifocal premature ventricular contractions
c. Rapid resolution of ST elevation
d. Rapid rise in creatine kinase MB fraction

Question 2

A patient presents with aphasia, decreased level of consciousness, and right-sided weakness

The patient has a history of heart disease, hyperlipidemia, and transient ischemic attacks. Based on the history, the nurse suspects that the patient has sustained which type of stroke?

a. Hemorrhagic stroke
b. Intracerebral hemorrhages
c. Subarachnoid hemorrhages
d. Ischemic stroke

sarajane1989 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

B, C, D
A reliable indicator of reperfusion is the appearance of various reperfusion dysrhythmias such as premature ventricular contractions, bradycardia, heart block, and ventricular tachycardia. Rapid resolution of the previously elevated ST segment should occur. The serum concentration of creatine kinase rises rapidly and markedly, a phenomenon termed washout.

Answer to Question 2

D
Ischemic stroke results from interruption of blood flow to the brain and accounts for 80 to 85 of all strokes. The interruption can be the result of a thrombotic or embolic event. Thrombosis can form in large vessels (large-vessel thrombotic strokes) or small vessels (small-vessel thrombotic strokes). Embolic sources include the heart (cardioembolic strokes) and atherosclerotic plaques in larger vessels (atheroembolic strokes). In 30 of the cases, the underlying cause of the stroke is unknown (cryptogenic strokes). Strokes are classified as ischemic and hemorrhagic. Hemorrhagic strokes can be further categorized as subarachnoid hemorrhages and intracerebral hemorrhages.