Diferencia entre revisiones de «Post-tPA hemorrhage in CVA»

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6/06 MISTRY
6/06 MISTRY


[[Category:Heme]]
[[Category:Heme/Onc]]
[[Category:Neuro]]
[[Category:Neuro]]

Revisión del 07:47 28 mar 2011

Consider bleeding if decreased LOC, increased weakness, new headache, sudden rise in blood pressure


If bleeding occurs after tPA:

  1. Stop tpa infusion
  2. Stat head CT
    1. if no bleeding resume tpa
    2. If bleeding check labs, consider fibrinogen replacement
  3. Recheck pt/ptt, platelets, fibrinogen levels
  4. Prepare 6- 8 units cryoprecipitate
  5. Prepare 6- 8 units platelets

Source

6/06 MISTRY