Diferencia entre revisiones de «Post-tPA hemorrhage in CVA»
Sin resumen de edición |
Sin resumen de edición |
||
| Línea 13: | Línea 13: | ||
***Consider fibrinogen replacement | ***Consider fibrinogen replacement | ||
***Recheck CBC, coags fibrinogen levels | ***Recheck CBC, coags fibrinogen levels | ||
***Prepare 6-8 units cryoprecipitate | ***Prepare 6-8 units cryoprecipitate or FFP | ||
***Prepare 6-8 units platelets | ***Prepare 6-8 units platelets | ||
Revisión del 03:40 16 feb 2016
Background
- Consider if pt 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 or FFP
- Prepare 6-8 units platelets