Post-tPA Hemorrhage in CVA
Revision as of 14:14, 22 March 2016 by Ostermayer (talk | contribs) (Text replacement - "Category:Neuro" to "Category:Neurology")
Background
- Consider if pt develops:
- Decreased LOC
- Increased weakness
- New headache
- Sudden rise in BP
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