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

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Consider bleeding if decreased LOC, increased weakness, new headache, sudden rise in blood pressure
+
*Consider if decreased LOC, increased weakness, new headache, sudden rise in blood pressure
 
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*If bleeding occurs after tPA:
 
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*Stop tpa infusion
If bleeding occurs after tPA:
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*Stat head CT
# Stop tpa infusion
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**If no bleeding: resume tpa
# Stat head CT
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**If bleeding:
## if no bleeding resume tpa
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***Consider fibrinogen replacement  
## If bleeding check labs, consider fibrinogen replacement  
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***Recheck pt/ptt, platelets, fibrinogen levels
# Recheck pt/ptt, platelets, fibrinogen levels
+
***Prepare 6-8 units cryoprecipitate
# Prepare 6- 8 units cryoprecipitate
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***Prepare 6-8 units platelets
# Prepare 6- 8 units platelets
 
  
 
==See Also==
 
==See Also==
Line 18: Line 17:
 
6/06 MISTRY
 
6/06 MISTRY
  
[[Category:Heme/Onc]]
 
 
[[Category:Neuro]]
 
[[Category:Neuro]]

Revision as of 06:07, 28 September 2011

  • Consider if decreased LOC, increased weakness, new headache, sudden rise in blood pressure
  • If bleeding occurs after tPA:
  • Stop tpa infusion
  • Stat head CT
    • If no bleeding: resume tpa
    • If bleeding:
      • Consider fibrinogen replacement
      • Recheck pt/ptt, platelets, fibrinogen levels
      • Prepare 6-8 units cryoprecipitate
      • Prepare 6-8 units platelets

See Also

Source

6/06 MISTRY