A 58-year-old man presents 90 minutes after sudden onset of right arm weakness and expressive aphasia. Vital signs: BP 158/92, HR 98, RR 16, temp 37.2°C, SpO2 98% on room air. Head CT shows no hemorrhage; MRI demonstrates acute left middle cerebral artery territory infarction. He denies recent anticoagulant use. He receives a recombinant drug that converts plasminogen to plasmin to promote fibrin clot breakdown. Which medication was most likely given?
- A)Aspirin
- B)Clopidogrel
- C)Warfarin
- D)AlteplaseGABARITO
- E)Heparin
Explicação
Alteplase is recombinant tissue plasminogen activator that converts plasminogen to plasmin, leading to fibrin degradation and clot lysis. In appropriately selected acute ischemic stroke patients within the treatment window and without hemorrhage, it can improv... Ver explicação completa e trilha adaptativa →