Immediate action for unusual bruising while on thrombolytics
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What immediate action should be taken if a patient on thrombolytics develops unusual bruising?
O Notify the healthcare provider immediately
O Discontinue all medications
O Continue with medication and monitor
O Apply ice to the bruised area
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Step by Step Written Solution
In this pharmacology quiz, we are asked to identify the immediate action to take if a patient on thrombolytics develops unusual bruising.
Patient Safety in Thrombolytic Therapy
First, let's understand what thrombolytics are. They are powerful medications used to dissolve blood clots to treat conditions like heart attacks or strokes.
Thrombolytics: "Clot-busting" agents (e.g., Alteplase)
Because these drugs actively break down clots and inhibit the body's clotting ability, the most significant risk associated with them is bleeding.
Unusual bruising is an early sign of internal or subcutaneous bleeding. In clinical practice, any sign of bleeding in a patient receiving thrombolytics is a serious concern.
Let's evaluate our options. Starting with the second option, we should not discontinue all medications on our own without specific orders, though the thrombolytic itself might eventually be stopped.
Evaluating Options
1. Notify healthcare provider immediately
2. Discontinue all medications
3. Continue with medication and monitor
4. Apply ice to the bruised area
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