The nurse is reviewing the health history for a patient who may be a candidate for thrombolytic therapy for the treatment of an MI. The nurse knows that therapy is contraindicated in which circumstances?
1. Menses
2. A history of intracranial hemorrhage
3. Hemophilia
4. Liver disease
5. Peptic ulcer disease
2,3,4,5
Rationale 1: Menses is not a contraindication for thrombolytic therapy.
Rationale 2: A history of intracranial hemorrhage is a contraindication for thrombolytic therapy.
Rationale 3: Hemophilia, a clotting disorder, is a contraindication for thrombolytic therapy.
Rationale 4: Liver disease is a contraindication for thrombolytic therapy.
Rationale 5: Peptic ulcer disease is a contraindication for thrombolytic therapy.
Global Rationale: A history of intracranial hemorrhage is a contraindication for thrombolytic therapy. Hemophilia, a clotting disorder, is a contraindication for thrombolytic therapy. Liver disease and peptic ulcer disease are contraindications for thrombolytic therapy. Menses is not a contraindication for thrombolytic therapy.
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