Difference between revisions of "Post-tPA Hemorrhage in CVA"

Line 1: Line 1:
 
Consider bleeding if decreased LOC, increased weakness, new headache, sudden rise in blood pressure
 
Consider bleeding if decreased LOC, increased weakness, new headache, sudden rise in blood pressure
  
 
  
 
If bleeding occurs after tPA:
 
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
  
* Stop tpa infusion
+
==Source==
* 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
 
 
 
 
 
6/06 MISTRY
 
6/06 MISTRY
  
 
+
[[Category:Heme]]
 
 
 
 
 
[[Category:Neuro]]
 
[[Category:Neuro]]

Revision as of 07:46, 28 March 2011

Consider bleeding if decreased LOC, increased weakness, new headache, sudden rise in blood pressure


If bleeding occurs after tPA:

  1. Stop tpa infusion
  2. Stat head CT
    1. if no bleeding resume tpa
    2. If bleeding check labs, consider fibrinogen replacement
  3. Recheck pt/ptt, platelets, fibrinogen levels
  4. Prepare 6- 8 units cryoprecipitate
  5. Prepare 6- 8 units platelets

Source

6/06 MISTRY