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What is the time window for administering fibrinolytic therapy in stroke patients?

  1. 1 hour

  2. 3 hours

  3. 6 hours

  4. 24 hours

The correct answer is: 3 hours

Fibrinolytic therapy, commonly known as thrombolysis, is a treatment administered to stroke patients experiencing an acute ischemic stroke. The primary goal of this therapy is to dissolve the blood clots that are obstructing blood flow to the brain, thus minimizing the extent of brain damage and improving outcomes. The time window for administering this therapy is critical, and current guidelines suggest that it is most effective when given within three hours of the onset of stroke symptoms. This three-hour window is based on clinical research indicating that administering fibrinolytic agents, such as tissue plasminogen activator (tPA), within this timeframe significantly improves the likelihood of recovery and reduces the risk of complications. Beyond three hours, the risk of contraindications and potential complications associated with fibrinolytic therapy increases, and the potential benefits diminish. Therefore, knowing and adhering to this three-hour time window is essential for EMTs and other healthcare providers when assessing and treating stroke patients. This is why the correct answer identifies three hours as the critical period for the safe and effective use of fibrinolytic therapy in the context of stroke treatment.