Post-tPA Hemorrhage in CVA: Difference between revisions
Ostermayer (talk | contribs) (Text replacement - "Category:Neuro" to "Category:Neurology") |
Neil.m.young (talk | contribs) (Text replacement - " pt " to " patient ") |
||
| Line 1: | Line 1: | ||
==Background== | ==Background== | ||
*Consider if | *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