my brother had a stent in the artery that runs to his right arm colapse. His arm turned into one big blood clot. the Dr. operated, re-opened the stent, and tried to clear out the clot, but was only partially successful. TPA was adminstered through his IV in the ICU after the surgeries. (no CT or MRI of the brain was done prior to this!). The next day he began showing stroke symptoms, which were assumed to be alcohol dt symptoms, and went undiagnosed despite being under the care of the ICU. One week later he was released. two weeks after that, the symptoms were not improving, and we took him into the er, where a ct of his brain was done and it showed that he had suffered several small strokes while he was initially in the hospital.
Should he have been given a ct piror to administering the tpa? Should he have been given a ct after tpa was administered? (it wasnt done) Since tpa clears out of the system fairly fast, should he have been given another dose of tpa when he began showing stroke symptoms?
Asked On : Sat, 6 Apr 2013