Post-tPA Hemorrhage in CVA

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  • 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