The health care provider is considering using fibrinolytic therapy such as t-PA (Activase) for a patient who has come into the ED experiencing an MI. Which information is most impo... The health care provider is considering using fibrinolytic therapy such as t-PA (Activase) for a patient who has come into the ED experiencing an MI. Which information is most important to relay to the provider?
Understand the Problem
The question is asking which piece of medical history information is most critical for a health care provider considering using fibrinolytic therapy for a patient experiencing a myocardial infarction (MI) in the emergency department.
Answer
History of hemorrhagic stroke
The information most important to relay to the provider is a 'History of hemorrhagic stroke.'
Answer for screen readers
The information most important to relay to the provider is a 'History of hemorrhagic stroke.'
More Information
Fibrinolytic therapy is contraindicated in patients with a history of hemorrhagic stroke due to the significant risk of bleeding.
Tips
Common mistakes include not considering the severity of potential complications from hemorrhagic conditions.
Sources
- ACC/AHA Guidelines for the Management of Patients With ST - ahajournals.org
- Fibrinolysis for Acute Myocardial Infarction | Circulation - AHA Journals - ahajournals.org
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