Documentos de Académico
Documentos de Profesional
Documentos de Cultura
3. Diagnostico diferencial
4. Criterios de inclusin
a. Criterios mayores
b. Criterios menores
5. Escala de NIHSS
6. Terapia fibrinolitica
Also well documented is the significant impact of time- to-tPA treatment
on outcomes. If therapy is started within 3 to 4.5 hours of ischemic
stroke onset, patients have improved functional outcomes 3 to 6 months
after the incident . Between 31% and 50% of patients treated with tPA
within 3 hours experienced improved recovery at 3 months compared
with 20% to 38% of patients treated with placebo.
The label also identifies advanced age as a warning, stating that for
patients >75 years of age, the risks of alteplase therapy may be
increased and should be weighed against the anticipated benefits.
CONTRAINDICACIONES
Absolutas: se consideran contraindicaciones absolutas aquellas en la cuales no
se debe anticoagular por el grave riesgo hemorrgico existente:
1. Ditesis hemorrgicas congnitas o adquiridas.
2. Procesos hemorrgicos (ulcus gastroduodenal sangrante, neoplasia ulcerada,
etc.).
3. Hipertensin arterial severa no controlable.
4. Retinopata hemorrgica.
5. Aneurisma intracerebral.
6. Hemorragia intracraneal.
7. Hepatopatas y nefropatas graves.
Esteroides anablicos
Fluvacina
Tamoxifeno
Existen otros frmacos que en
determinados pacientes pueden
producir interacciones.
Inhiben:
Interaccin altamente probable
Griseofulvina Rifampicina Nafcilina
Colestiramina
Barbitricos
Carbamazepina
Clordiazepxido
Sucralfato
Alimentos
con
alto
contenido
en
vitamina
K
Alimentacin enteral Gran cantidad
de aguacate
Interaccin probable
Dicloxacilina
Coles de Bruselas