Hemorrhagic stroke: Difference between revisions
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#Keep MAP <130 during acute phase | #Keep MAP <130 during acute phase | ||
#If on coumadin with INR > | #If on coumadin with INR >1.5 consider reversal: | ||
##Vitamin K 10mg IV gtt over 10min | ##Vitamin K 10mg IV gtt over 10min | ||
###Small risk of anaphylaxis | ###Small risk of anaphylaxis |
Revision as of 05:15, 20 May 2011
- Keep MAP <130 during acute phase
- If on coumadin with INR >1.5 consider reversal:
- Vitamin K 10mg IV gtt over 10min
- Small risk of anaphylaxis
- Takes 6-12hr to work
- FFP
- Usually need up to 6 units to bring INR to 1.2
- Be careful about volume overload in elderly
- Takes hours to work
- Prothrombin complex concentrate (20-50mg/kg IV x1)
- Fast-acting (10min) but expensive
- Vitamin K 10mg IV gtt over 10min
- If on ASA or clopidogrel:
- Desmopressin (0.3mcg/kg)
- Platelets
Source
EMcrit Podcast 17