Post-tPA Hemorrhage in CVA: Difference between revisions

Revision as of 06:07, 28 September 2011

Consider if decreased LOC, increased weakness, new headache, sudden rise in blood pressure
If bleeding occurs after tPA:
Stop tpa infusion
Stat head CT
- If no bleeding: resume tpa
- If bleeding:
  - Consider fibrinogen replacement
  - Recheck pt/ptt, platelets, fibrinogen levels
  - Prepare 6-8 units cryoprecipitate
  - Prepare 6-8 units platelets

6/06 MISTRY

Authors:

@@ Line 1: / Line 1: @@
-Consider bleeding if decreased LOC, increased weakness, new headache, sudden rise in blood pressure
+*Consider if decreased LOC, increased weakness, new headache, sudden rise in blood pressure
+*If bleeding occurs after tPA:
+*Stop tpa infusion
-If bleeding occurs after tPA:
+*Stat head CT
-# Stop tpa infusion
+**If no bleeding: resume tpa
-# Stat head CT
+**If bleeding:
-## if no bleeding resume tpa
+***Consider fibrinogen replacement
-## If bleeding check labs, consider fibrinogen replacement
+***Recheck pt/ptt, platelets, fibrinogen levels
-# Recheck pt/ptt, platelets, fibrinogen levels
+***Prepare 6-8 units cryoprecipitate
-# Prepare 6- 8 units cryoprecipitate
+***Prepare 6-8 units platelets
-# Prepare 6- 8 units platelets
 ==See Also==
@@ Line 18: / Line 17: @@
 /06 MISTRY
-[[Category:Heme/Onc]]
 [[Category:Neuro]]