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Post-tPA Hemorrhage in CVA
From WikEM
Contents
Background
- Consider if patient 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
See Also
References
Authors
Ross Donaldson, Jordan Swartz, Kevin Lu, Neil Young, Daniel Ostermayer
