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ABSOLUTE
Concurrent acute MI or current Platelets < 100,000 or INR 1.4 Major surgery within past 14 days Co-morbidity that predisposes to hemorrhage ICH on Head CT or clinical suspicion of SAH Pregnant or lactating Stroke within past 3 months Lifetime history of intracranial hemorrhage Serious head trauma within past 3 months Known AVM or Aneurysm HTN >185/110 despite 2 PRN Rx doses
RELATIVE
FS glucose <50 or > 400 Seizure at onset of stroke Post-MI pericarditis GI or GU hemorrhage in past 21 days Lumbar puncture in past 7 days Arterial puncture at noncompressible site in past 7 days
GCS and NIH may not reflect early signs of deterioration Drowsiness, slowed response time & intractable vomiting are more specific