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D.K., a 72-year-old man, had a myocardial infarction (MI) 5 years ago. He has been diagnosed...

D.K., a 72-year-old man, had a myocardial infarction (MI) 5 years ago. He has been diagnosed with classic (stable) angina. D.K. is prescribed acebutolol. His baseline vital signs are blood pressure 108/58; pulse 56 (at times irregular); and respirations 28. His past medication history includes asthma.

D.K. comes to the clinic with complaints of “dizzy spell and wheezing” His blood pressure is 86/50, pulse 46, and respirations 30. His acebutolol was stopped, and diltiazem, was ordered.

  1. Explain some of the main concerns with the administration of thrombolytics.
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Answer #1

Thrombolytics uses drugs to diffuse the clot in the blood stream which could otherwise had caused heart attacks or strokes. This treatment should be given immediately within first 30 minutes of administering in the hospital. But using them shows some problems.

Main concern of thrombolytics administration are nausea, vomiting, low blood pressure (hypotension), dizziness, mild fever and allergic reactions (swelling, rash, hives).

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