which one is correct? - hellerphd

[ArchivalUser]

30. A 72-year-old woman 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 161min. 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?
O A) Oral ticlopidine
O B) Oral warfarin
O C) Sublingual nifedipine
O D) Intravenous nitroprusside
O E) Intravenous tissue plasminogen activator

answer I got from source is E, I am wondering if acute stroke, should we use tPA group medication, seems, only aspirin or heparin, something?
anyone has points for that, thanks very much

[ArchivalUser]

E..is the correct choice!

indication for using thrombolytics in a pt with stroke is within 3 hrs.
like for MI it is within 12 hrs.

tPA is superior to aspirin and heparin...

[ArchivalUser]

thanks

[ArchivalUser]

tPA will chop down the clot that has already been formed....neurologic deficits is the evidence

heparin will prevent future clot formation and aspirin prevents platelet aggregation..

u r welcome

[ArchivalUser]

only 1 hour has past......... E looks like the best action

[ArchivalUser]

EEEEEEEEEE