I have no clue if I was weighed before I got tPA. YOU will need to scream at your Emergency room doctor, 'Are you giving me the right tPA dose based upon my weight?' Is this part of the problem that tPA only works completely 12% of the time?
http://www.alphagalileo.org/ViewItem.aspx?ItemId=158252&CultureCode=en
A new study has revealed stroke patients receiving emergency clot
busting drugs, the correct dose of which depends on the patient’s
weight, may be receiving the wrong dose because the UK (and much of
Europe) does not weigh patients prior to its administration.
The research, which is published in Stroke today (10 November), was
carried out by the Institute of Cardiovascular Research at Royal
Holloway, University of London and St Peters Hospital in Chertsey and
reveals errors were being made in the dosage because clinicians were
poor at guessing the weight of patients, particularly the heaviest
patients (weighing over 80kg) irrespective of age, gender or presence of
other diseases.
Overall, approximately 20% of patients received an incorrect dose
(about 11% too little and 8% too much). Around 1 in 5 of the heaviest
patients, received a 10% incorrect (usually too little) dose of the clot
busting drug. At discharge these patients had on average 10% poorer
outcome.
Those patients who had been accurately dosed were seen to have the greatest functional improvement at discharge.
Lead researcher Professor Pankaj Sharma from the Institute of
Cardiovascular Research at Royal Holloway, said: “Our study has revealed
that patients are being given the wrong dose of up to 10% of the amount
they should receive which is resulting in poorer outcomes. This was the
case in 1 in 5 of the heaviest patients, which made up a third of the
studied population.
If we were to extrapolate this data to the approximately 150,000
individuals that suffer a stroke annually in the UK then it would mean
around 10,000 stroke victims per year are receiving the wrong dose,
potentially impacting on their final functional outcome.”
The researchers have made a recommendation that all emergency/A&E
departments in the UK have at least one automatic weighing bed and that
this should be mandated across the NHS.
A simple automatic weighing accessory for a hospital bed can cost as
little as a few hundred pounds but potentially save the NHS millions of
pounds in terms of better stroke outcome and reduced morbidity.
Professor Sharma added: “I would struggle to think of an alternative
intervention for stroke that would benefit so many patients, in so short
a time, for so little money.”
Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 29,112 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.
What this blog is for:
My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.
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