Perhaps
Forum Elite
Topics: 61
Posts: 162
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A 72yo female is brought to the emergency department 1 hour after the sudden onset of right facial droop and weakness of the right arm and leg. She takes captopril for hypertension and daily aspirin. Her blood pressure is 150/90 mm Hg, pulse is 80/min, and respirations are 16/min. Examination shows a left carotid bruit and right central facial paralysis. There is moderate expressive aphasia. A CT scan of the head shows no abnormalities. Which of the following is the most appropriate initial pharmacotherapy?
A) Oral ticlopidine
B) Oral warfarin
C) Sublingual nifedipine
D) Intravenous nitroprusside
E) Intravenous tissue plasminogen activator
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| shumaila
Forum Elite
Topics: 58
Posts: 347
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E?????
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| frank100
Forum Guru
Topics: 48
Posts: 586
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(E). CT scan is normal, and no contraindication for tpa use. acording to ACLS guidelines
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| shiva3384
Forum Newbie
Topics: 7
Posts: 14
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another reason for using tpa if im right is the symptoms occured within 3 hrs
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| cbenitesch
Forum Senior
Topics: 10
Posts: 141
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Yeah I go for E)
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