Post-tPA hemorrhage in CVA: Difference between revisions
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Revision as of 07:47, 28 March 2011
Consider bleeding 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 check labs, consider fibrinogen replacement
- Recheck pt/ptt, platelets, fibrinogen levels
- Prepare 6- 8 units cryoprecipitate
- Prepare 6- 8 units platelets
Source
6/06 MISTRY