Difference between revisions of "Hemorrhagic stroke"

(Created page with "AHA Guidlines: Keep MAP <130 during acute phase When patient is anticoagulated on warfarin with INR > 2.0 should consider reversal with following: Vitamin K 10mg IV (sma...")
 
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AHA Guidlines:
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==AHA Guidlines==
 
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#Keep MAP <130 during acute phase
Keep MAP <130 during acute phase
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#When patient is anticoagulated on warfarin with INR > 2.0 should consider reversal with following:
 
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##Vitamin K 10mg IV (small risk of anaphylaxis, takes up to 6 hours to work)
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#FFP (generally need up to 6 units to bring INR to 1.2; careful about volume overload in the elderly)
 
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#Prothrombin Complex Concentrate (25-50mg/kg IV)
When patient is anticoagulated on warfarin with INR > 2.0 should consider reversal with following:
+
##very expensive with limited data but trends are moving towards using this in life threatening bleeding.  can decrease hematoma expansion.
 
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#Desmopressin: can increase activity of platelets via vWF
 
 
 
Vitamin K 10mg IV (small risk of anaphylaxis, takes up to 6 hours to work)
 
 
 
 
 
 
FFP (generally need up to 6 units to bring INR to 1.2; careful about volume overload in the elderly)
 
 
 
 
 
 
Prothrombin Complex Concentrate (25-50mg/kg IV)
 
 
 
  very expensive with limited data but trends are moving towards using this in life threatening bleeding.  can decrease hematoma expansion.
 
 
 
 
 
 
Desmopressin: can increase activity of platelets via vWF
 
 
 
 
  
 +
==Source==
 
Arabinda Pani, MD
 
Arabinda Pani, MD
  
 
2/20/2010
 
2/20/2010
 
 
 
  
 
[[Category:Neuro]]
 
[[Category:Neuro]]

Revision as of 07:24, 28 March 2011

AHA Guidlines

  1. Keep MAP <130 during acute phase
  2. When patient is anticoagulated on warfarin with INR > 2.0 should consider reversal with following:
    1. Vitamin K 10mg IV (small risk of anaphylaxis, takes up to 6 hours to work)
  3. FFP (generally need up to 6 units to bring INR to 1.2; careful about volume overload in the elderly)
  4. Prothrombin Complex Concentrate (25-50mg/kg IV)
    1. very expensive with limited data but trends are moving towards using this in life threatening bleeding. can decrease hematoma expansion.
  5. Desmopressin: can increase activity of platelets via vWF

Source

Arabinda Pani, MD

2/20/2010