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NHS Tayside ED Guidance
Cerebrovascular (including stroke and seizures)
Hyperacute stroke management
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Hyperacute stroke management (thrombolysis or haemorrhage with hypertension) Q & A algorithm
Contraindications?
Contraindications?
NHS Tayside ED Guidance
NHS Tayside
Are there any of the following contraindications for thrombolysis?
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Symptoms beginning more than 4 ½ hours prior to infusion.
Known history of or suggested intracranial haemorrhage.
Symptoms suggestive of subarachnoid haemorrhage, even if CT-scan is normal.
Evidence of intracranial haemorrhage (ICH) on the CT-scan.
Manifest or recent severe or dangerous bleeding.
Known Haemorrhagic diathesis.
Systolic blood pressure above 185 or diastolic BP above 110mm hg and unable to get below this threshold within 4.5 hours of symptom onset.
None of the above.
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