Post-tPA Hemorrhage in CVA: Difference between revisions
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*Consider if | ==Background== | ||
* | *Consider post-tPA [[ICH]] if patient develops: | ||
*Stop | **[[AMS|Decreased LOC]] | ||
* | **Increased [[weakness]] | ||
**If no bleeding: resume | **New [[headache]] | ||
**Sudden rise in [[hypertension|BP]] | |||
*May also have [[GI bleed]], mucosal bleeding | |||
==Management== | |||
*Stop tPA | |||
*[[Head CT]] | |||
**If no bleeding: resume tPA | |||
**If bleeding: | **If bleeding: | ||
***Consider fibrinogen replacement | ***Consider fibrinogen replacement | ||
***Recheck | ***Recheck CBC, coags fibrinogen levels | ||
***Prepare 6-8 units cryoprecipitate | ***Prepare 6-8 units [[cryoprecipitate]] | ||
***Prepare 6-8 units platelets | ***Prepare 6-8 units [[platelets]] | ||
==See Also== | ==See Also== | ||
| Line 14: | Line 21: | ||
*[[CVA (Main)]] | *[[CVA (Main)]] | ||
== | ==References== | ||
<references/> | |||
[[Category:Neurology]] | |||
[[Category: | [[Category:Critical Care]] | ||
Revision as of 04:30, 3 October 2019
Background
- Consider post-tPA ICH if patient develops:
- Decreased LOC
- Increased weakness
- New headache
- Sudden rise in BP
- May also have GI bleed, mucosal bleeding
Management
- Stop tPA
- Head CT
- If no bleeding: resume tPA
- If bleeding:
- Consider fibrinogen replacement
- Recheck CBC, coags fibrinogen levels
- Prepare 6-8 units cryoprecipitate
- Prepare 6-8 units platelets