This specialty practice discussion group is intended for nurse educator members of APHON. Remember that... View more
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We dose TPA according to patient weight (see below). We also give 2mg/2ml for ports but the patient needs to be >10kg. We are able to redose a second time if after 2 hours the initial dose doesn’t work.
It makes sense to give a 0.33mg/0.33ml (length + 10%) or standard 0.5mg/0.5ml dose for a catheter length/reservoir of 0.3ml. – correction on dosing
a. Patients <10 kg: 0.5 mg/0.5ml b. Patients 10-30 kg: 1 mg/1 ml c. Patients >30 kg: 2 mg/2ml d. Implanted ports in patients >10kg: 2mg/2ml
Hope this helps, Lou
—————————— Louis Ruggiero, BSN, RN, CPHON Clinical Educator – Infusion Center Children’s Hospital Los Angeles email@example.com —————————— ——————————————- Original Message: Sent: 05-01-2020 04:17 PM From: Ashley Varnes Subject: TPA dosing
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
—————————— 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 843-985-1686 firstname.lastname@example.org ——————————