A patient has been admitted with an ischemic stroke.The patient received recombinant tissue plasminogen activator (rtPA)in the emergency department.The nurse checks the medication administration record to make sure the patient does not have which medications for the next 24 hours?
A) Aspirin
B) Sodium nitroprusside
C) Warfarin
D) Labetalol
E) Any antiplatelet drugs

Question

Quizplus · Accepted Answer

The major risk and complication of rtPA therapy is bleeding,especially intracranial hemorrhage.Unlike fibrinolytic protocols for acute myocardial infarction,subsequent therapy with anticoagulant or antiplatelet agents is not recommended after rtPA administration in ischemic stroke.Patients receiving fibrinolytic therapy for stroke should not receive aspirin,heparin,warfarin,ticlopidine,or any other antithrombotic or antiplatelet drugs for at least 24 hours after treatment.Sodium nitroprusside and labetalol are used to manage blood pressure after a stroke.

A Patient Has Been Admitted with an Ischemic Stroke