A client has been ordered a thrombolytic medication. Why is it important for the nurse to obtain a comprehensive medication history for this client?
1. Many patients are allergic to this medication.
2. Thrombolytics cannot be given to a patient with a history of asthma.
3. Thrombolytics will stop bleeding.
4. Thrombolytics are contraindicated in patients with active bleeding or with a history of recent trauma.
4
Rationale 1:Thrombolytics are produced through recombinant DNA technology and identical to enzyme human tPA.
Rationale 2: Thrombolytics not be given to a patient with a history of asthma.
Rationale 3: Thrombolytics are used to dissolve clots.
Rationale 4: Thrombolytics are contraindicated in patients with active bleeding or with a history of recent trauma.
Global Rationale: Thrombolytics have a narrow margin of safety between dissolving normal and abnormal clots. Thrombolytics are contraindicated in patients with active bleeding or a history of recent trauma
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