Stroke guidelines tpa

Common Questions and Answers about Stroke guidelines tpa


Avatar n tn As you would figure, only a small minority of cases of stroke reaching the ER receive tPA. Hence, although tPA may be considered a possible new standard of care, it is not as widely applicable as one might think due to numerous (at this time) uncontrollable factors. Also, it should not be thought of as a magic clot-busting bullet in its efficicy.
Avatar m tn a five-year trial, conducted by the National Institute of Neurological Disorders and Stroke (NINDS) found that carefully selected stroke patients who received Activase within three hours of the beginning of stroke symptoms were at least 33 percent more likely than patients given a placebo to recover from their stroke with little or no disability after three months." Three months? So what does that mean?
Avatar n tn I had symptoms of a stroke (wekaness in left arm, leg and face some dropping in face) on april 22 and was given tpa. the mri's were negatvie, I had no risk factors for a stroke. I was put on plavix and was going to physical therapy. Nine weeks later I had another epiosde this time it started with left side pain in leg and arm then wekaness in arm and leg and left side of face. Was given TPS again and everything but some weakness in legcame back to normal.
Avatar m tn I had a stroke in March 2013 in the US, and was given an injection of TPA (Alteplase), the 'clot-buster'. Within seconds I recovered the use of my right arm and leg, which had been paralysed. I had a travel insurance policy (I was visiting from the UK) but I suspect they won't pay out. My total bill was $35,000, but a major item was the TPA injection, which was billed at $13,283, for 2 x 50mg phials (they actually used 70mg).
Avatar f tn my mom had a stroke 7 months ago. tPA was also administered in a timely manner but did not help. also right side, no speech whatsoever. I was devastated, panicked, scared... However she started showing some progress now, some walking, some words. 3 months post stroke is not that much, 70 is not that old. Keep hoping and do not give up on therapy and hard work.
Avatar n tn ve worked mainly in neonatal icu for 7 years, I was under the impression that TPA was the treatment of choice for all strokes if it could be given w/i a few hours, but the cardiologist told me that due to a small risk of hemmorrage, "small strokes" aren't usually treated with TPA or kinase drugs.
Avatar m tn Hi, did your mom have single stroke episode and TPA done? if yes, then you can be optimistic. She will recover, though how much is difficult to tell. Ensure to see that her co morbid conditions are controlled, like diabetes and hypertension and keep up with the physiotherapy. Regards.
Avatar f tn I always hear how people have had strokes, and sometimes there is a disability based on how bad the stroke was. I just seen my dad pass away, from a stroke. He went into the hospital (E.R.) for a possible heart attack, they said it was not, but wanted him to stay over night to keep an eye on him. During the night my dad had a stroke and was unable to move, speak or eat I He passed away less than a week. How can this be? I would love to fined out how can this be???
Avatar n tn JCAHO has measures for primary stroke certification however they do not make recommendations on their measures. I am looking for a variety of clinical, operational and financial measures. i.e., incidence of pneumonia, UTI, post stroke, procedure times, fluoro times, efficiency measures for interventional neuroradiology cases, IA-tPA, coiling, thrombectomy and costs per case. Does any one know if such an "animal" exists?
Avatar n tn On 10/09/07 my 56 y/o bro with hx of H/B experianced a brain stem stroke with lt sided brain infract and blocked caroctied arteries.He was unable to recive TPA due to his elavated b/p, he was life flighted to a second hospital where they attempted to place a stent via angiograph however where unable to due to severe blockage. They also attempted to give him another clot busting agent with this proceedure,and again where unable to use the agent sucessfully.
Avatar n tn but i am not a doc-just a family member who is still going through the process of stroke (dad) and has read up on stroke for hours and hours.
Avatar m tn Ask about the motor and sensory homunculs maps to get a basic idea of what functions may have been affected. tPA is only given if the stroke was a clot so I am assuming that it was a bleed. Ask to see the CT scan or MRI. rehabilitation is possible even with a major stroke, I looked at my MRI and it looked like 1/3 of the right half of my brain was dark and I am recovering fairly well. Get the medical records from the scans so you can ask the drs about them.
Avatar m tn I have had 5 different conflicting reports about what was to happen regarding Coumadin, ranging from total d/c, to hold for 1 week, to hold for 1 day, to resume. TPA was withheld after this stroke, because of GI bleed. Why would it have been OK to give TPA last year after an upper GI bleed when many units of blood were needed, but it was NOT OK for TPA this stroke following colitis with trace blood? Why would Coumadin have been held at all after the colonoscopy?
Avatar m tn Tissue plasminogen activator (TPA), needs to be given within 4.5 hours after stroke symptoms, this restores the blood supply to the affected part. Treatment of hemorrhagic stroke focuses on controlling the bleeding and reducing the pressure on the brain. Sometimes surgical interventions may be needed to control the bleeding. Cerebrolysin has beneficial effects on cognitive function. Depending on the clinical condition, a rehabilitation program is charted out.
Avatar n tn I had a stroke about 6 weeks ago. They used the TPA drug and I have very little complications. I have noticed a few changes - I am right handed but now my left eye is dominate. (stroke was on the right side). Sometimes when I am observing shadows instead of the being gray - I see beautiful colors. Emeral greens, sap greens, colbalt blue, even mustard yellow. Add light and they go away. Told the doctor that next time I will take up pastel painting!
Avatar m tn My mom had a stroke in early May. She had the tpa administered within 3 hours. She has gained some use of her right hand. Her left leg still won't budge. Her right knee wont support her weight very long. The worst problem of all is her inability to raise herself up! It took 2 therapists and the help of a third one to get her front the chair onto the sliding board and mat. Will this be permanent?
Avatar n tn I am a 46 yr old male. When I was 1st taken to the emergency room TPA was administered in a timely fashion so that all seems fine. As a matter of fact a recent echo cardiagram showed my heart has improved from 45% to 55%. That is not my total question though this week Tuesday I suffered a TIA and was admitted to CCF for Tuesday & Weds. Can this TIA have brought on by the TPA? Could this drug used for clearing a heart attack also move tiny flecks of cholesteral or plac?
Avatar f tn Husband had massive stroke rh side. Tpa didn't work. Speech and responses good first day but swelling progressed much faster than normal. At 48 hrs underwent decompression surgery. Went great. No bleeding. Off propofol 2 days now but still intubated. (5 days since surgery) and he will not or can open his eyes. Still responds to all requests. Is there anything we can do. Itell him its important. He is a 61 yr old cardiac survivor.
Avatar f tn My dad had a massive stroke in December of 2012. He received the drug TPA. He was paralyzed on the left side but, was able to talk, read and interact to some degree. He developed Parkinson like spasms and was prescribed a relatively mild medication to minimize the spasms. It seems that he is going backwards. Recently, he has become increasingly incoherent. He had begun to try and feed himself with a weighted spoon. Now he is unable to focus or pick up the spoon.
Avatar n tn Aspirin, an anti-thrombotic drug, is given immediately after an ischemic stroke to reduce the likelihood of having another stroke. Tissue plasminogen activator (TPA), needs to be given within 4.5 hours after stroke symptoms, this restores the blood supply to the affected part. The blood pressure and diabetes need to be well controlled. And once his clinical condition is stabilized, a rehabilitation program can be charted out. Hope this helped and do keep us posted.
Avatar m tn My husband had a stroke night before last and is in Intensive Care in an Atlanta hospital. Because I was with him when he had the stroke and knew that's what it was, he got to the ER 30 minutes after it happened and was able to receive the "clot buster" drug. The neurologist treating him is very disappointed that he had no apparent results from the drug in the first 24 hours--can't talk or move the affected side and won't open his eyes.
Avatar f tn Aspirin, an anti-thrombotic drug, is given immediately after an ischemic stroke to reduce the likelihood of having another stroke. Tissue plasminogen activator (TPA), needs to be given within 4.5 hours after stroke symptoms, this restores the blood supply to the affected part. After suffering a stroke, many people experience post-stroke spasticity, muscle tightness that impairs mobility. Botox injections can help with this tightness.
Avatar m tn t recovering, he was scanned again and we were told that plaque had broken loose during surgery and had caused him to have a stroke. If they were able to determine that it was a stroke when we visited him two hours after surgery and had to ride the nurse to get answers, could clot busters have been used in hopes of breaking up the clot within the 3 hour window of a stroke.
Avatar n tn I am a 40 year old female who had a stroke 2 months ago and found out I had a large PFO, MY stroke converted from a ischemic stroke to hemmorrhagic after recieving tpa. I was sent home without blood thinners because after 2 doses in the hospital I began bleeding again. I am lucky enough to not have any remaining problems except mild left arm weakness. The Plan is to have the PFO closed when my insurance company realizes this what I need(another story).
Avatar m tn Or, when talking to someone else, they speculated she ended up having another stroke event later. If so, it seems to me that if they had given her tPA, it could have potentially prevented the severeness of what she is experiencing now. So my questions are: 1. Do I have a basis for my conclusion? Or is it just my severe lack of knowledge in this area prevents me from understanding why this wasn't the case? 2.
Avatar n tn I am 79 years old and was in good health til last Sept. The stroke was reversed with TPA successfully. I was very fortunate. I did not need chemo-I was told that the surgery was curative.
1821865 tn?1317522031 My mother had a stroke back on 11/15/2012 at work. She had suffered a schemic stroke on her right side which paralyze her left side completely. She was given tpa a week later she had a cranial bleed. They removed her right skull a few days later she had a second stroke where she lost her ability of speaking. Since she has not said a word. Now she is at a nursing home rehab where she makes 5 steps behind then forward now the place told us they are going to drop her because she is not improving.
Avatar n tn TPA meeting pure rage