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Tpa contraindications provide inclusion/exclusion criteria when deciding to use tpa on a patient with acute ischemic stroke. Conditions may include acute pericarditis, sbe (spontaneous bacterial endocarditis), hemostatic defects, diabetic hemorrhagic retinopathy, septic thrombophlebitis, occluded av cannula, or patient is currently receiving oral anticoagulants (e.g., warfarin or doacs). What are the indications for and contraindications to thrombolytics Read more about it in detail here with case discussion and detailed list on it.
Although fibrinolytic therapy may be the recommended treatment, in some cases the risks outweigh the benefits and the therapy is contraindicated
A thorough assessment of the patient’s condition and medical history is an essential part of determining if fibrinolytic therapy is appropriate. Following this, i created an interactive contraindication checklist for my iphone (see below) This isn’t intended to replace deeper thoughts regarding the risks vs Contraindications for thrombolytic therapy, including the absolute contraindication of ischemic stroke & the relative contraindication of pregnancy.
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