Hemorrhagic stroke: Difference between revisions
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AHA Guidlines | ==AHA Guidlines== | ||
#Keep MAP <130 during acute phase | |||
Keep MAP <130 during acute phase | #When patient is anticoagulated on warfarin with INR > 2.0 should consider reversal with following: | ||
##Vitamin K 10mg IV (small risk of anaphylaxis, takes up to 6 hours to work) | |||
#FFP (generally need up to 6 units to bring INR to 1.2; careful about volume overload in the elderly) | |||
#Prothrombin Complex Concentrate (25-50mg/kg IV) | |||
When patient is anticoagulated on warfarin with INR > 2.0 should consider reversal with following: | ##very expensive with limited data but trends are moving towards using this in life threatening bleeding. can decrease hematoma expansion. | ||
#Desmopressin: can increase activity of platelets via vWF | |||
Vitamin K 10mg IV (small risk of anaphylaxis, takes up to 6 hours to work) | |||
FFP (generally need up to 6 units to bring INR to 1.2; careful about volume overload in the elderly) | |||
Prothrombin Complex Concentrate (25-50mg/kg IV) | |||
Desmopressin: can increase activity of platelets via vWF | |||
==Source== | |||
Arabinda Pani, MD | Arabinda Pani, MD | ||
2/20/2010 | 2/20/2010 | ||
[[Category:Neuro]] | [[Category:Neuro]] | ||
Revision as of 07:24, 28 March 2011
AHA Guidlines
- Keep MAP <130 during acute phase
- When patient is anticoagulated on warfarin with INR > 2.0 should consider reversal with following:
- Vitamin K 10mg IV (small risk of anaphylaxis, takes up to 6 hours to work)
- FFP (generally need up to 6 units to bring INR to 1.2; careful about volume overload in the elderly)
- Prothrombin Complex Concentrate (25-50mg/kg IV)
- very expensive with limited data but trends are moving towards using this in life threatening bleeding. can decrease hematoma expansion.
- Desmopressin: can increase activity of platelets via vWF
Source
Arabinda Pani, MD
2/20/2010