During the first 24 hours after receipt of Activase (tPA), the primary concern is controlling N.T.'s:
a. Cardiac rhythm
b. BP
c. Glucose level
d. Oxygen saturation
b
Although all parameters must be monitored and controlled, the BP is the most vital. A number of
patients experience post-CVA HTN. BP may need to be lowered to reduce the risk of hemorrhage and
worsening cerebral edema. However, overly aggressive lowering of the BP may compromise cerebral
blood flow in the area surrounding the infarct resulting in stroke extension.
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