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Thrombolytic Administration for Acute Franciscan Health System Fhshealth  Form

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this is how to manage an ischemic stroke after you've given thrombolytic medications in the initial management you want to do intensive monitoring with frequent neurologic examinations you also want strict blood pressure control so you want to keep the blood pressure below 180 over 105 to decrease the risk of hemorrhagic transformation you want to avoid hypotension to maintain perfusion to the ischemic penumbra and you can see the ischemic region of the CT scan in the back here and the penumbra would be the region right next to the ischemic region you also want to wait at least 24 hours prior to initiating anti-platelet or anticoagulant medications and at some centers they even do a non-contrast CT scan of the head to first rule out hemorrhagic transformation before giving antiplatelet or anticoagulant medications there are some potential complications to thrombolysis after ischemic stroke intracerebral Hemorrhage is the one that we've kind of been alluding to with thes

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