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šŸ‘¤ Eleanor, 71, post-tPA, slightly more drowsy

NIHSS 12. tPA only (no EVT). BP trending up: 162 ā†’ 168/98. Target should be 130-140.

You notice subtle drowsiness. STAT NIHSS ā†’ 15. STAT CT ā†’ hemorrhagic transformation.

Early detection = prompt reversal = better recovery.

āš ļø Never dismiss subtle neuro changes post-tPA as "patient tired from ordeal."

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