A client having an ischemic stroke arrives at the emergency department. The health care provider prescribes tissue plasminogen a
ctivator (tPA). Which client statement would be most important to clarify before administering tPA? 1. "I can't believe this is happening right after my stomach surgery."
2. "I had a concussion after a car accident a year ago."
3. "I started noticing my right arm becoming weak approximately an hour ago."
4. "I stopped taking my warfarin 4 weeks ago."
1. "I can't believe this is happening right after my stomach surgery."
Explanation:
When blood flow is blocked due to formation of clots or other factors, the brain does not receive enough blood due to which there is obstruction in the flow of energy. This causes Ischemic Stroke in patients and must be treated immediately.
Tissue plasminogen activator (tPA) dissolves blood clotsand restores perfusion in clients with ischemic stroke.
It must be administered within a 3-4.5 hour window from appearance of symptoms for effective healing.
The nurse assesses for contraindications to tPA due to the risk of hemorrhage.
No history of intracranial hemorrhage or active bleeding should be present in the case of this patient.
In this example identify the CS, UCS, UR and UCR every time an army drill sergeant calls aut "Ready , aim fire" the artillery shoots making a pain fully loud sound that causes you to flinch after a few repetitions you tense your muscles after the word " fire" befor the shot itself
<span>Peptidoglycan is composed of alternating N-acetylmuramic acid and </span>N-acetylglucosamine, short amino acid chains, and some lipid proteins. Both amino sugars are bonded by beta-glycosidic bonds.<span> The amino acid sequence in the crosslinking of the lattice also differs between bacteria species. </span>
