Question

You are caring for a patient with a suspected stroke symptoms started 2 hours ago. The CT scan was normal with no signs of hemorrhage. The patient does not have ang contraindications to fibrinolytic therapy. Which treatment approach is best for this patient?

Answer 1

The best answer is tPA (tissue plasminogen activator).

Tissue plasminogen activator (tPA) is a serine proteinase whose function is to activate plasminogen plasmin to enable it to perform its fibrinolytic function (degradation of fibrin clot into soluble fragments). A tPA deficiency leads to an increased risk of thrombosis.

The purpose of the tPA analysis is to predict the risk of thrombosis that can lead to stroke and myocardial infarction.

Answer 2

Mri scan would be best