Clicky

TabletWise.com
Pharmacy Website
Clinic Website
 
 

tPA Contraindications for Ischemic Stroke

Age ≥18
No 0
Yes 100
Clinical diagnosis of ischemic stroke causing neurological deficit
No 0
Yes 200
Time of symptom onset <4.5 hours
No 0
Yes 400
Intracranial hemorrhage on CT
No 0
Yes 1
Clinical presentation suggests subarachnoid hemorrhage
No 0
Yes 1
Neurosurgery, head trauma, or stroke in past 3 months
No 0
Yes 1
Uncontrolled hypertension (>185 mmHg SBP or >110 mmHg DBP)
No 0
Yes 1
History of intracranial hemorrhage
No 0
Yes 1
Known intracranial arteriovenous malformation, neoplasm, or aneurysm
No 0
Yes 1
Active internal bleeding
No 0
Yes 1
Suspected/confirmed endocarditis
No 0
Yes 1
Known bleeding diathesis
(1) Platelet count < 100,000; (2) Patient has received heparin within 48 hours and has an elevated aPTT (greater than upper limit of normal for laboratory); (3) Current use of oral anticoagulants (ex: warfarin) and INR >1.7; (4)Current use of direct thrombin inhibitors or direct factor Xa inhibitors
No 0
Yes 1
Abnormal blood glucose (<50 or >400 mg/dL)
No 0
Yes 1
Only minor or rapidly improving stroke symptoms
No 0
Yes 1
Major surgery or serious non-head trauma in the previous 14 days
No 0
Yes 1
History of gastrointestinal or urinary tract hemorrhage within 21 days
No 0
Yes 1
Seizure at stroke onset
No 0
Yes 1
Recent arterial puncture at a noncompressible site
No 0
Yes 1
Recent lumbar puncture
No 0
Yes 1
Post myocardial infarction pericarditis
No 0
Yes 1
Pregnancy
No 0
Yes 1
Age >80 years
No 0
Yes 1
History of prior stroke and diabetes
No 0
Yes 1
Any active anticoagulant use (even with INR <1.7)
No 0
Yes 1
No 0
Yes 1
CT shows multilobar infarction (hypodensity >1/3 cerebral hemisphere)
No 0
Yes 1
Result:

Background

Result Interpretation

Ranges Ranges