Difference between revisions of "Post-tPA Hemorrhage in CVA"

(Background)
Line 2: Line 2:
 
*Consider post-tPA [[ICH]] if patient develops:
 
*Consider post-tPA [[ICH]] if patient develops:
 
**[[AMS|Decreased LOC]]
 
**[[AMS|Decreased LOC]]
 +
**Worsening neurologic exam
 
**Increased [[weakness]]
 
**Increased [[weakness]]
 
**New [[headache]]
 
**New [[headache]]

Revision as of 20:25, 27 November 2019

Background

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

See Also

References