Reply To: TPA administration by nurse or physician

  • Mary Lynn Rae

    October 31, 2019 at 9:04 am

    Bedside RN administers


    We usually do 2 mg/2 mL for ports



    Mary Lynn

    Mary Lynn Rae, MSN, RN, CPHON

    NPD Practitioner/Clinical Educator Hem/Onc/SCT

    Ann & Robert H. Lurie Children’s Hospital of Chicago

    T 312.227.4224 | |

    225 East Chicago Avenue, Box 248, Chicago, Illinois 60611-2991

    Image result for pediatric oncology symbol

    APHON Chicago Chapter President



    ——Original Message——


    it is highly appreciated if you can help with below inquiries:

    1- who administer TPA in case of an occluded line : the doctor or a the nurse?
     In our setting, the MD administers the TPA dose and the nurse aspirate it.  

    please advise if the nurse administers the dose. 

    2- what is the priming volume of an implanted port chamber.
    does the priming volume affects the amount of thrombolytic agent (TPA)  to be given in case of an occluded line?

    Thank you in advance

    Sarah Hakim, MSN,RN
    Clinical Educator