Post-tPA hemorrhage in CVA: Difference between revisions
No edit summary |
No edit summary |
||
| Line 13: | Line 13: | ||
***Consider fibrinogen replacement | ***Consider fibrinogen replacement | ||
***Recheck CBC, coags fibrinogen levels | ***Recheck CBC, coags fibrinogen levels | ||
***Prepare 6-8 units cryoprecipitate | ***Prepare 6-8 units cryoprecipitate or FFP | ||
***Prepare 6-8 units platelets | ***Prepare 6-8 units platelets | ||
Revision as of 03:40, 16 February 2016
Background
- Consider if pt develops:
- Decreased LOC
- Increased weakness
- New headache
- Sudden rise in BP
Management
- Stop tPA
- Head CT
- If no bleeding: resume tPA
- If bleeding:
- Consider fibrinogen replacement
- Recheck CBC, coags fibrinogen levels
- Prepare 6-8 units cryoprecipitate or FFP
- Prepare 6-8 units platelets