Diferencia entre revisiones de «Post-tPA hemorrhage in CVA»
(Text replacement - "==References== " to "==References== <references/> ") |
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==Background== | ==Background== | ||
*Consider if patient develops: | *Consider post-tPA [[ICH]] if patient develops: | ||
**Decreased LOC | **[[AMS|Decreased LOC]] | ||
**Increased weakness | **Increased [[weakness]] | ||
**New headache | **New [[headache]] | ||
**Sudden rise in BP | **Sudden rise in [[hypertension|BP]] | ||
*May also have [[GI bleed]], mucosal bleeding | |||
==Management== | ==Management== | ||
*Stop tPA | *Stop tPA | ||
*Head CT | *[[Head CT]] | ||
**If no bleeding: resume tPA | **If no bleeding: resume tPA | ||
**If bleeding: | **If bleeding: | ||
***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]] | ||
***Prepare 6-8 units platelets | ***Prepare 6-8 units [[platelets]] | ||
==See Also== | ==See Also== | ||
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<references/> | <references/> | ||
[[Category:Neurology]] | [[Category:Neurology]] | ||
[[Category:Critical Care]] | |||
Revisión del 04:30 3 oct 2019
Background
- Consider post-tPA ICH if patient develops:
- Decreased LOC
- Increased weakness
- New headache
- Sudden rise in BP
- May also have GI bleed, mucosal bleeding
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