A client has ordered a thrombolytic medication for treatment of CVA. Which type of stroke does the nurse know should not be treated with a thrombolytic?
1. Hemorrhagic stroke
2. Thrombotic stroke
3. Both types can be treated with a thrombolytic
4. Neither type can be treated with a thrombolytic
1
Rationale 1: Drug therapy of thrombotic stroke focuses on two main goals: prevention of strokes through the use of anticoagulants and antihypertensive agents, and restoration of blood supply to the affected portion of the brain as quickly as possible after an acute stroke through the use of thrombolytics. Hemorrhagic stroke is caused by rupture of a cerebral vessel and its associated bleeding into neural tissue.
Rationale 2: A thrombolytic will dissolve the clot, causing the blockage.
Rationale 3: A hemorrhagic stroke should not be treated with a thrombolytic drug.
Rationale 4: A thrombotic stroke can be treated with a thrombolytic.
Global Rationale: Drug therapy of thrombotic stroke focuses on two main goals: prevention of strokes through the use of anticoagulants and antihypertensive agents, and restoration of blood supply to the affected portion of the brain as quickly as possible after an acute stroke through the use of thrombolytics. Hemorrhagic stroke is caused by rupture of a cerebral vessel and its associated bleeding into neural tissue. A thrombolytic will dissolve the clot, causing the blockage. A hemorrhagic stroke should not be treated with a thrombolytic drug. A thrombotic stroke can be treated with a thrombolytic.
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