If an MI patient that you have just completed the fibrinolytic screening tool on is found to have an absolute contraindication to the drug, what will likely be the interventions they will receive in the hospital as soon as possible?

A. Open heart surgery.
B. Rapid sequence intubation.
C. Electrical cardioversion.
D. Percutaneous intervention (angioplasty)


Answer: D. Percutaneous intervention (angioplasty).
One concern with the fibrinolytic is that they don't just dissolve clots in the heart; they can dissolve clots anywhere in the vessels of the body. For this reason recent stroke patients, patients with a history of recent surgery and similar patients cannot receive fibrinolytic drugs because of the risk that the drugs may cause internal hemorrhage or other life-threatening complications. Therefore, percutaneous coronary intervention(angioplasty) has become the most important consideration in the ST elevation MI patient.

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