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    Checklist Trombolitik

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    Huang Jen Liang
    The document provides a checklist for determining eligibility for thrombolytics in stroke treatment. It lists absolute exclusion criteria, cautions/warnings, and expanded treatment criteria. Reasons for non-treatment are also given.

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    © All Rights Reserved
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    Checklist Trombolitik

    Uploaded by

    Huang Jen Liang
    1K views2 pages
    The document provides a checklist for determining eligibility for thrombolytics in stroke treatment. It lists absolute exclusion criteria, cautions/warnings, and expanded treatment criteria. Reasons for non-treatment are also given.

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    Checklist

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    Checklist trombolitik

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    The document provides a checklist for determining eligibility for thrombolytics in stroke treatment. It lists absolute exclusion criteria, cautions/warnings, and expanded treatment criteria. Reasons for non-treatment are also given.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    1K views2 pages

    Checklist Trombolitik

    Uploaded by

    Huang Jen Liang
    The document provides a checklist for determining eligibility for thrombolytics in stroke treatment. It lists absolute exclusion criteria, cautions/warnings, and expanded treatment criteria. Reasons for non-treatment are also given.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    1055 N. Curtis Rd.

    • Boise, ID 83706 • (208) 367-2121

    THROMBOLYTIC CHECKLIST FOR STROKE


    Yes No ABSOLUTE EXCLUSION CRITERIA
    Hemorrhagic stroke, mass effect or edema on baseline CT, or history of intracranial hemorrhage
    Suspicion of subarachnoid hemorrhage
    Intracranial neoplasm, arteriovenous malformation or aneurysm
    Previous cerebral infarction or head trauma within past three months
    Sustained or uncontrolled hypertension (Systolic greater than 185 or Diastolic greater than 110 after attempt to treat HTN)
    Onset of symptoms is more than three hours prior to the beginning of treatment (unless utilizing 3-4.5 hr. extended window)
    Major surgery within 14 days prior
    Platelet count below 100,000
    INR greater than 1.7
    Blood glucose below 50 mg/dL
    Patient received warfarin (Coumadin®), heparin, or lovenox within 48 hours preceding onset of symptoms and PTT not in normal range
    Direct thrombin inhibitors or direct factor Xa inhibitors within the last 48 hrs
    Severe neurological deficits at discretion of neurologist
    Arterial puncture at non-compressible site within previous 7 days
    Severe complicated condition, such as AIDS or cancer, that would confound treatment
    Age < 18 years of age
    Yes No Cautions/Warnings
    Known bleeding disorder or associated condition with high risk of bleeding, GI or GU bleeding within the past 21 days.
    Recent acute myocardial infarction within one month
    Major surgery within 14 days prior
    Seizure at onset of stroke symptoms or pretreatment
    Rapidly Improving neurologic deficit
    Sensory loss, ataxia, dysarthria alone or minimal weakness
    Preexisting neurologic, psychiatric or other illness that would confound treatment
    If female, patient has positive blood or urine pregnancy test on record
    Lumbar Puncture within 7 days Yes No Expanded Treatment (3-4.5 hrs) Criteria
    Serious trauma in the previous 14 days All of the above EXCEPT ABSOLUTE CONTRAINDICATIONS:
    Pericarditis or subacute bacterial endocarditis Age > 80 years
    Significant liver or kidney dysfunction Taking oral anticoagulants regardless of INR
    Diabetic hemorrhagic retinopathy NIHSS >25
    Combination of previous stroke and diabetes mellitus

    REASONS FOR NON-TREATMENT WITH THROMBOLYTICS


    Time Patient/Family Refused
    Uncontrolled Hypertension No IV access
    CT finding Platelet count (less than 100,000)
    Stroke severity Abnormal aPTT, PT/INR
    Blood Glucose less than 50 Active internal bleeding (previous 21 days)
    Recent IC surgery (3 mo.) Head trauma/Stroke

    Additional considerations may apply, and these are guidelines to be used at the discretion of the attending physician.

    Rev. 8/13 BO-1581


    *BO-1581*

    Rev. 8/13 BO-1581

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