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- When emergently managing stroke, be vigilant about anticipating potential complications and recognizing them with expediency, regardless of whether the patient receives tPA therapy.
- The following are associated with greater risk of developing cerebral edema and/or post-tPA hemorrhage:
--- High NIH Stroke Scale scores.
--- Large areas of infarct.
--- Cerebellar infarcts.
--- Extended time to tPA administration.
--- Previous stroke.
--- Older age.