Post-tPA hemorrhage in CVA

• 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

See Also

• CVA (tPA Criteria)
• CVA (Main)

Source

6/06 MISTRY