AIS – post TPA after 24 hours
Posted On May 3, 2020
24 hr Post TPA CT or MRI – no bleed
- Start aspirin 300 mg suppository of 325 mg daily po
- or Plavix 325 mg qd
- Start High intensity Statin, such as Atorvastatin 40-80 mg qd
- Continue on heart monitor, watch for atrial fibrillation
- Consider Echocardiogram
- Cardiogenic emboli suspected
- Keep glucose in good range, diabetes education
- If Neuro status stable
- gradually increase activity
- Gradually bring blood pressure to normal range
- Continue ST, PT, OT
- Stroke education
- Rehab evaluation
- Treat all other risk factor for stroke
- Life style change: diet, activity
- Smoking cessation
- Weight management