Volumen: 5 # Number : 3
Publication Date : Noviembre - Diciembre Year: 2001
CONTROVERSIAS EN HEMOSTASIA Y TROMBOSIS |
Authors: José M. Ceresetto, Julio Sánchez Ávalos, Jorge Ubaldini
Abstract: Severe pulmonary embolism with sustained hypotension (less than 90 mmHg systolic pressure) or with cardiogenic shock requires urgent treatment with fibrinolytic drugs. Otherwise there is still no consensus with the use of fibrinolytics in patients witch are compensated but with right ventricular disfunction and even Dr Goldhaber now seems to be cautious because of the high risk of intracraneal bleeding. The suggested dose is for t-PA 100 mg IV in 2 hours, UK 1 millon U IV in 10 minutes an then 2 millon in 2 hours, SK 1.5 U IV in 2 hours.
Key words: pulmonary embolism - fybrinolitic treatment
Pages : 217-221
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