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

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6/06 MISTRY
 
6/06 MISTRY
  
[[Category:Heme]]
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[[Category:Heme/Onc]]
 
[[Category:Neuro]]
 
[[Category:Neuro]]

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:

  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