An 83-year-old woman in an acute rehabilitation facility 4 weeks - TopicsExpress



          

An 83-year-old woman in an acute rehabilitation facility 4 weeks after a left hip replacement surgery abruptly develops aphasia and right hemiparesis during a physical therapy session. She has a history of chronic obstructive pulmonary disease (and had an arterial blood gas performed 1 day ago), and had a right occipital stroke 2 months ago. A head CT scan shows the prior stroke, but no acute changes. Which of the following would be the most compelling contraindication to the use of IV recombinant tissue-type plasminogen activator (rtPA) in this patient? A. her age. B.her hip surgery 4 weeks ago C.her stroke 2 months ago D.history of upper gastrointestinal bleeding 6 months ago E. radial artery puncture 24 hours ago
Posted on: Sat, 15 Nov 2014 03:38:03 +0000

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