Practice Quiz

CCRN Critical Care Nursing

Category - Adult

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A 76 year old male enters the emergency room with signs and symptoms of having suffered a stroke. A CT scan of his head indicates an ischemic stroke and the emergency room physician discusses with you the use of Fibrinolytic Therapy. To be most effective when can you begin Fibrinolytic Therapy for ischemic stroke?
  1. time of onset is greater than 185 minutes
  2. less than 7 days of having a lumbar puncture
  3. 18 years or older with a previous head injury in the last 1 month
  4. time of onset is less than 185 minutes
Explanation
Answer: D - Fibrinolytic therapy for ischemic stroke to be effective must be administered within 3 hours of the ascertained time of symptom onset. Fibrinolytic therapy is very effective as the therapy of choice in patients presenting less than 3 hours since the time of the beginning of their symptoms.
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