1. Confirm that the patient is eligible for fibrinolytic therapy.
Before administering fibrinolytic therapy, it is important to confirm that the patient is eligible for treatment. Some factors that may disqualify a patient from receiving fibrinolytic therapy include advanced age, renal impairment, history of stroke, and recent surgery or trauma.
2. Assess the patient's blood pressure and heart rate.
It is important to monitor the patient's blood pressure and heart rate before and during treatment with fibrinolytics. High blood pressure or arrhythmia can increase the risk of adverse events.
3. Check for evidence of myocardial infarction (heart attack).
It is essential to rule out a heart attack before administering fibrinolytic therapy. A myocardial infarction can increase the risk of complications associated with fibrinolysis.
4. Check the patient's renal function.
Fibrinolytic therapy can cause renal damage in patients with impaired renal function. It is important to assess the patient's renal function before starting treatment.
5. Administer anticoagulant therapy as needed.
Fibrinolytic therapy can cause excessive bleeding in patients who are taking anticoagulant medications. If the patient is taking an anticoagulant, it is important to adjust the dosage or discontinue the medication prior to starting fibrinolysis.
6. Monitor the patient's clotting parameters.
It is important to monitor the patient's clotting parameters during and after treatment with fibrinolytics. Abnormal clotting can increase the risk of hemorrhage.
7. Monitor the patient's ECG rhythm.
Fibrinolytic therapy can cause arrhythmia in some patients. It is important to monitor the patient's ECG rhythm during and after treatment.
8. Watch for signs of bleeding or hemorrhage.
Fibrinolytic therapy can cause significant bleeding in some patients. It is important to watch for signs of bleeding or hemorrhage during and after treatment.
9. Observe the patient for signs and symptoms of an allergic reaction to the medication.
Fibrinolytic therapy can cause allergic reactions in some patients. It is important to observe the patient for signs and symptoms of an allergic reaction during and after treatment.