A patient experiencing an ischemic stroke is being considered for thrombolytic therapy. Which finding needs to be addressed before preparing the patient for this treatment?

Question

Quizplus · Accepted Answer

1. Although the pulse is slightly elevated, this pulse would not be a contraindication for thrombolytic therapy.
2. Temperature is not a contraindication for thrombolytic therapy.
3. This is a normal respiratory rate.
4. Before lytic therapy is started, it is suggested that SBP be less than or equal to 185 mm Hg and DBP be less than or equal to 110 mm Hg. To accomplish this, the nurse might administer labetalol (Normodyne) 10 to 20 mg IV over 1 to 2 minutes. The dose may be repeated once. The goal is to maintain the BP below 180/105 for a minimum of 24 hours after intravenous tPA treatment. If the blood pressure does not drop to an appropriate level, the patient will usually be excluded as a candidate for thrombolytic therapy.

A Patient Experiencing an Ischemic Stroke Is Being Considered for Thrombolytic