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

(Text replacement - "Category:Neuro" to "Category:Neurology")
(Text replacement - " pt " to " patient ")
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==Background==
 
==Background==
*Consider if pt develops:
+
*Consider if patient develops:
 
**Decreased LOC
 
**Decreased LOC
 
**Increased weakness
 
**Increased weakness

Revision as of 19:26, 1 July 2016

Background

  • Consider if patient 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