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

Line 13: Line 13:
 
***Consider fibrinogen replacement  
 
***Consider fibrinogen replacement  
 
***Recheck CBC, coags fibrinogen levels
 
***Recheck CBC, coags fibrinogen levels
***Prepare 6-8 units cryoprecipitate
+
***Prepare 6-8 units cryoprecipitate or FFP
 
***Prepare 6-8 units platelets
 
***Prepare 6-8 units platelets
  

Revision as of 03:40, 16 February 2016

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 or FFP
      • Prepare 6-8 units platelets

See Also

References