The prescriber has ordered thrombolytic therapy for a patient. The nurse understands that patients for whom thrombolytic agents are absolutely contraindicated are those with history of
a. peptic ulcer.
b. subarachnoid hemorrhage.
c. ischemic stroke 1 year ago.
d. cardiac dysrhythmias.
ANS: B
An absolute contraindication to thrombolytic therapy is any prior intracranial hemorrhage, such as a subarachnoid hemorrhage.
A history of peptic ulcer or an ischemic stroke 1 year ago is a relative contraindication. Thrombolytics can be administered with caution.
No contraindication exists to administration of thrombolytics to a patient with cardiac dysrhythmias.
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