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

m (Ostermayer moved page CVA (Post-tPA Hemorrhage) to Post-tPA Hemorrhage in CVA without leaving a redirect)
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==Background==
 
==Background==
#Consider if pt develops:
+
*Consider if pt develops:
##Decreased LOC
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**Decreased LOC
##Increased weakness
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**Increased weakness
##New headache
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**New headache
##Sudden rise in BP
+
**Sudden rise in BP
  
 
==Management==
 
==Management==
#Stop tPA
+
*Stop tPA
#Head CT
+
*Head CT
##If no bleeding: resume tPA
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**If no bleeding: resume tPA
##If bleeding:
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**If bleeding:
###Consider fibrinogen replacement  
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***Consider fibrinogen replacement  
###Recheck CBC, coags fibrinogen levels
+
***Recheck CBC, coags fibrinogen levels
###Prepare 6-8 units cryoprecipitate
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***Prepare 6-8 units cryoprecipitate
###Prepare 6-8 units platelets
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***Prepare 6-8 units platelets
  
 
==See Also==
 
==See Also==
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*[[CVA (Main)]]
 
*[[CVA (Main)]]
  
==Source==
+
==References==
6/06 MISTRY
 
  
 
[[Category:Neuro]]
 
[[Category:Neuro]]

Revision as of 07:48, 29 August 2015

Background

  • Consider if pt develops:
    • Decreased LOC
    • Increased weakness
    • New headache
    • Sudden rise in BP

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

See Also

References