To protect a client who has received tissue plasminogen activator (t-PA) or alteplase recombinant (Activase) therapy, the nurse should:
1. Use the radial artery to obtain blood gas samples.
2. Maintain arterial pressure for 10 seconds.
3. Administer IM injections.
4. Encourage physical activity.
The nurse should use the radial artery to obtain blood gas samples because it is easier to maintain firm pressure there than on the femoral artery. Nursing interventions to protect the client who has received t-PA or alteplase recombinant (Activase) therapy include maintaining arterial pressure for 30 seconds because it takes longer for coagulation to occur with the thrombolytic agent on board. IM injections are contraindicated during thrombolytic therapy. The nurse should prevent physical manipulation of the client, which can cause bruising.
CN: Reduction of risk potential; CL: Synthesize
小编寄语：Life is like a pencil that is used all the time. It's sharp at first, but it's smooth gradually. However, if it's too smooth, it's almost time to be cut again.人生就像不停在用的铅笔，开始很尖，但慢慢的就磨的圆滑了。不过，太过圆滑了，就差不多又该挨削了。