Scrn Chapter 6 Stroke Diagnostics Exam Questions And Answers

This study source was downloaded by 100000870257666 from CourseHero.com on 08-23-2023 11:09:40 GMT -05:00https://www.coursehero.com/file/210061873/-scrn-chapter-6-stroke-diagnostics-exampdf/ SCRN Chapter 6 Stroke Diagnostics Exam 1. What is the only blood test you must have results of in order to safely administer IV tissue plasminogen activator (tPA)besides international normalized ratio (INR), which is required for patients on Coumadin? A. Liver enzymes B. Cardiac enzymes C. Creatinine to know if CT angiography is safe D. Blood sugar - Answer- 1. D The American Heart Association guidelines state that "only blood glucose must precede the initiation of IV EPA" (Class I, Level of Evidence B recommendation). They also state that except for patients without suspicion of bleeding abnormality or thrombocytopenia, not on heparin or Coumadin, and not on other anticoagulants, IV EPA administration should not be delayed waiting for any other lab tests. Patients whose creatinine comes back elevated will have a decision made on an individual-case basis as to whether to stop the tPA, or continue (Jauch et al., 2013). 2. Patient X presents to the emergency department (ED) with right-sided weakness and speech difficulty at 10:00 a.m., reporting onset at 8:30 a.m. The CT was unremarkable. The wife says the only medication her husband takes