Question

Which of the following would exclude the use of fibrinolytic therapy in a patient confirmed to have had an ischemic stroke?

A) Elevated blood pressure (systolic >160 or diastolic >90 mmHg)
B) Current use of an anticoagulant
C) Head trauma within the previous 3 months
D) Seizure at the onset of stroke

Answer 1

Elevated blood pressure, current use of an anticoagulant, head trauma within the previous 3 months, and seizure at the onset of stroke would exclude the use of fibrinolytic therapy in a patient confirmed to have had an ischemic stroke.

Step-by-step explanation:

The use of fibrinolytic therapy in a patient confirmed to have had an ischemic stroke can be excluded in several situations:

1. Elevated blood pressure: If the patient has a systolic blood pressure higher than 160 mmHg or a diastolic blood pressure higher than 90 mmHg, fibrinolytic therapy would be contraindicated.
2. Current use of an anticoagulant: If the patient is already taking anticoagulant medications, such as warfarin or aspirin, fibrinolytic therapy would be excluded.
3. Head trauma within the previous 3 months: If the patient has suffered a head trauma within the last 3 months, fibrinolytic therapy would be contraindicated.
4. Seizure at the onset of stroke: If the patient experienced a seizure at the onset of the stroke, fibrinolytic therapy would be excluded.