The nurse has just begun administering intravenous streptokinase (Streptase). The nurse assesses vital signs and notes a temperature of 37° C, a heart rate of 70 beats per minute, and a blood pressure of 88/58 mm Hg
The nurse will contact the provider to
a. request an adjustment of the streptokinase dose.
b. request an order for aminocaproic acid (Amicar).
c. request epinephrine to prevent anaphylaxis.
d. report potential hemorrhage in this patient.
ANS: A
Patients receiving streptokinase may experience hypotension when it is first administered and may require an adjustment in dosage. Aminocaproic acid is used to stop bleeding. Epinephrine is given for anaphylaxis, which is characterized by difficulty breathing. A patient with hemorrhage would typically also have tachycardia.
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