IV Thrombolysis Contraindications Checklist

Stroke or head trauma within the prior 3 months Any prior history of intracranial hemorrhage Major surgery within 14 days Gastrointestinal or genitourinary bleeding within the previous 21 days Arterial puncture at a non-compressible site within 7 days Lumbar puncture within 7 days Rapidly improving stroke syndrome Minor and isolated neurological signs Seizure at onset with residual impairments likely due to post-ictal phenomena Symptoms suggestive of subarachnoid hemorrhage, even if CT is normal Persistent BP >185/110 mmHg or requiring aggressive therapy to control BP Pregnancy Active bleeding or acute trauma/fracture Platelets <100,000/mm3 Serum glucose <2.8 mmol/L or >26.2 mmol/L INR >1.7 if on warfarin Elevated partial thromboplastin time if on heparin