Hemorrhagic stroke: Difference between revisions
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##Prothrombin complex concentrate (20-50mg/kg IV x1) | ##Prothrombin complex concentrate (20-50mg/kg IV x1) | ||
###Fast-acting (10min) but expensive | ###Fast-acting (10min) but expensive | ||
#Desmopressin | #If on ASA or clopidogrel: | ||
## | ##Desmopressin (0.3mcg/kg) | ||
##Platelets | |||
==Source== | ==Source== | ||
EMcrit Podcast 17 | |||
[[Category:Neuro]] | [[Category:Neuro]] | ||
Revision as of 05:08, 20 May 2011
- Keep MAP <130 during acute phase
- If on coumadin with INR >2 consider reversal:
- Vitamin K 10mg IV gtt over 10min
- Small risk of anaphylaxis
- Takes 6-12hr to work
- FFP
- Usually need up to 6 units to bring INR to 1.2
- Be careful about volume overload in elderly
- Takes hours to work
- Prothrombin complex concentrate (20-50mg/kg IV x1)
- Fast-acting (10min) but expensive
- Vitamin K 10mg IV gtt over 10min
- If on ASA or clopidogrel:
- Desmopressin (0.3mcg/kg)
- Platelets
Source
EMcrit Podcast 17