Thrombolytic Agents are CLOT BUSTERS

Thrombolytic Agents are CLOT BUSTERS.

PRIORITY POINT: If the Ghostbusters had a medication class of choice, this would be it! Thrombolytic Agents are CLOT BUSTERS. They work QUICKLY to restore circulation. As such, they increase a client’s risk for bleeding.

• Who you gonna call? Streptokinase (Streptase). Call right away! These medications must be administered within 4 to 6 hours of onset of symptoms.

• If there’s something strange in your neighborhood: Thrombolytic agents dissolve clots that have already been formed. These medications convert plasminogen to plasmin, which destroys fibrinogen and other clotting factors.

• What’s the goal? Restoration of circulation, as evidenced by relief of chest pain, and reduction of initial ST segment injury pattern as shown on ECG.

• What’s the risk? Increased bleeding. These medications should only be given while the client is closely monitored. Baseline platelet and blood counts (including aPTT, PT, and INR) should be carefully assessed. Venipunctures and SQ and IM injections should be limited.

• After the clot has left the building: Administer beta blockers to decrease myocardial oxygen consumption and reduce the incidence and severity of reperfusion arrhythmias.

Source Link

https://www.facebook.com/note.php?note_id=10150751738690714