Reply To: TPA dosing

  • Angie Blackwell

    May 1, 2020 at 4:41 pm

    We have recently changed our policy to 110% of internal lumen volume for all lines.

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    ——Original Message——

    Can anyone share their policy on TPA administration? Specifically dosing for ports and broviacs/piccs?
    Previously we administered 2m/2ml for all ports. However, we have had quite a few mini ports placed recently and they have a 0.3ml reservoir. I have been working with pharmacy and we wanted to reach out to other institutions to see if you use a standard dose for ports or do you dose based on size of port?

    Thank you!

    Ashley Varnes, MSN, RN, CPHON, CPN, BMTCN
    Clinical Practice Nurse Expert
    Cancer and Blood Disorders Unit
    Pediatric Hematology/Oncology
    Medical University of South Carolina
    Shawn Jenkins Children’s Hospital