Inclusion/Exclusion
The only lab required to be resulted prior to alteplase administration based on the 2018 Stroke Guidelines
What is serum glucose?
What is 0.9 mg/kg with 10% bolus given IV push, remainder over 1 hour?
Blood pressure goal if alteplase candidate
What is 185/100?
Dose of 4F-PCC used at OMC for warfarin reversal for intracranial hemorrhage?
What is 2000 units?
Time frame after LKW that is eligible for endovascular retrieval?
What is 24 hours?
The time frame for which DOAC administration results in a contraindication for alteplase administration.
What is 48 hours?
Name the tubing type that is used for administration of alteplase.
What is primary tubing?
What is less than 220/120?
Goal INR for patients on warfarin with an intracranial hemorrhage
What is less than 1.4?
What is 75 minutes?
Patients with a recent stroke in this time frame should not be given alteplase
What is 3 months?
This must be administered after completion of alteplase infusion.
What is NS flush bag?
Rate and frequency for which nicardipine should be titrated?
What is 2.5 mg/hr every 15 minutes?
Goal blood pressure for patients with intracranial hemorrhage
What is SBP 140 - 160?
What is FAST-ED?
What is true?
Name the volume that is to be programmed on Alaris pump setting as the VTBI?
What is the entire dose including bolus?
Titration frequency for clevidipine
What is every 90 seconds?
Time frame for which Xa-inhibitors/direct thrombin inhibitors should be reversed?
What is up to 48 hours?
Severe reaction possible with alteplase administration + mechanism
What is angioedema?
Time frame in which prophylactic enoxaparin can be administered and alteplase still given.
What is anytime?
What is 45 minutes?
Name 2 blood pressure agents that EMS can administer during patient transfer that do not require a nurse ride along.
What is labetalol and hydralazine?
Dose for 4F-PCC for reversal of Xa-inhibitors
What is 25 - 50 units/kg?
Agent that should be administered if hemorrhagic conversion occurs after administration of alteplase
What is cryprecipitate?