Post-tPA Hemorrhage in CVA: Difference between revisions
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Consider bleeding if decreased LOC, increased weakness, new headache, sudden rise in blood pressure | Consider bleeding if decreased LOC, increased weakness, new headache, sudden rise in blood pressure | ||
If bleeding occurs after tPA: | If bleeding occurs after tPA: | ||
# Stop tpa infusion | |||
# Stat head CT | |||
## if no bleeding resume tpa | |||
## If bleeding check labs, consider fibrinogen replacement | |||
# Recheck pt/ptt, platelets, fibrinogen levels | |||
# Prepare 6- 8 units cryoprecipitate | |||
# Prepare 6- 8 units platelets | |||
==Source== | |||
6/06 MISTRY | 6/06 MISTRY | ||
[[Category:Heme]] | |||
[[Category:Neuro]] | [[Category:Neuro]] | ||
Revision as of 07:46, 28 March 2011
Consider bleeding 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 check labs, consider fibrinogen replacement
- Recheck pt/ptt, platelets, fibrinogen levels
- Prepare 6- 8 units cryoprecipitate
- Prepare 6- 8 units platelets
Source
6/06 MISTRY