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A common complication of using thrombolytic drugs S

A.

Nausea

B.

Hypertension

C.

Fever

D.

Bleeding

Answer and Explanation

The Correct Answer is D

A) Nausea
Nausea is not the most common or primary complication associated with thrombolytic drugs. While some patients may experience nausea as a minor side effect, it is not the hallmark complication of thrombolytic therapy. Thrombolytic drugs are used to dissolve blood clots, and their primary concern is related to bleeding due to their potent effect on clotting factors.

B) Hypertension
Hypertension (high blood pressure) is not typically associated with thrombolytic therapy. In fact, thrombolytic drugs are more likely to cause hypotension (low blood pressure) in some cases, especially if bleeding complications lead to significant blood loss.

C) Fever
Fever can occur as a side effect of many medications or conditions, but it is not a common or direct complication of thrombolytic therapy. Fever may occasionally arise as a response to infection, inflammation, or even the breakdown of clots, but it is not a primary concern when using thrombolytic drugs.

D) Bleeding
Bleeding is the most common and serious complication associated with thrombolytic drugs. These medications work by breaking down fibrin, the protein responsible for clot formation, to dissolve blood clots. While this is beneficial in conditions like myocardial infarction, stroke, or pulmonary embolism, it increases the risk of bleeding throughout the body. Bleeding can occur at various sites, including internal bleeding, gastrointestinal bleeding, and bleeding at the injection site.


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Related Questions

Correct Answer is A

Explanation

Given:

Ordered dose of Dopamine: 3 mcg/kg/min

Child's weight: 41.8 lbs

Concentration of Dopamine: 400 mg in 250 mL D5W

Step 1: Convert child's weight from pounds to kilograms:

1 pound (lb) = 0.453592 kilograms (kg)

Child's weight in kg = 41.8 lbs x 0.453592 kg/lb = 18.935 kg

Step 2: Calculate the total dose of Dopamine in mcg/min:

Total dose (mcg/min) = Ordered dose (mcg/kg/min) x Child's weight (kg)

Total dose (mcg/min) = 3 mcg/kg/min x 18.935 kg

Total dose (mcg/min) = 56.805 mcg/min

Step 3: Convert mcg to mg:

Total dose (mg/min) = Total dose (mcg/min) / 1000 mcg/mg

Total dose (mg/min) = 56.805 mcg/min / 1000 mcg/mg

Total dose (mg/min) = 0.056805 mg/min

Step 4: Calculate the total dose in mg/hr:

Total dose (mg/hr) = Total dose (mg/min) x 60 min/hr

Total dose (mg/hr) = 0.056805 mg/min x 60 min/hr

Total dose (mg/hr) = 3.4083 mg/hr

Step 5: Calculate the infusion rate in mL/hr:

Infusion rate (mL/hr) = Total dose (mg/hr) / Concentration (mg/mL)

Infusion rate (mL/hr) = 3.4083 mg/hr / (400 mg/250 mL)

Infusion rate (mL/hr) = 3.4083 mg/hr x (250 mL/400 mg)

Infusion rate (mL/hr) = 2.1301875 mL/hr

Step 6: Round to the nearest tenth:

Infusion rate (mL/hr) ≈ 2.1 mL/hr

Correct Answer is D

Explanation

Rationale:

Ordered Dose:

The prescription is for 12 mg of Celestone Soluspan (betamethasone) IM every 24 hours for 2 doses.

Available Dose (from label): The vial contains 6 mg/mL.

Dosage Calculation: Using the formula:

Volumetoadminister(mL) = Availableconcentration(mg/mL) / Ordereddose(mg)

Volumetoadminister = 12mg / 6mg/mL = 2 mL

Administration Route:

The order specifies IM (intramuscular) administration, aligning with the label instructions.

Thus, 2 mL IM is the correct dosage to administer.

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