Post-tPA Hemorrhage in CVA

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

If bleeding occurs after tPA:

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

6/06 MISTRY

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