Alteplase - rtPA - Critical Care Medications

Quick review over rTPA (Alteplase) and its different uses in critical care.

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0:00 Intro
1:14 What is rTPA
2:50 How it works
4:16 Side effects
5:29 AIS
7:12 AMI
9:04 AMPE
10:07 Central lines
11:26 Wrap up

#ICUAdvantage #rTPA #Alteplase

[Simplensweett]

Very clearly explained. Made easy to understand.thank you for helping us to learn

[mikey]

Very informative and great video. As an ER nurse this is very helpful

[khairimoataz]

Very informative, clear and to the point. Thank you a lot!

[mrsscogin]

Sharing with my icu boot camp recruits today :) thanks for the quick and to the point synopsis!

[Opalinemoonbeam]

thank you so much! im in nursing school and we have our perfusion exam on monday. this really helped :)

[SoftSoulBro]

Loved this, I wish there was more room on my med card for all this good info. Good thing my noggin has seemingly unlimited storage.

[lamyaazeyada]

Marvelous, , plz go on. Can you please go on 4 lectures about clinical nutrition in icu

[dann.]

what is the efficacy of alteplase? In other words, how much of a clot, in general, does it dissolve?

[fikepacitech]

My friend is suffering so much from pulmonary embolism and through my research i found that Alteprase could help her. Can you suggest me all steps to take to help her?

[arseniohardrick]

Great education! Vanderbilt Lifeflight stopping by for the knowledge!

[monzilachowdhury]

I was looking for your lecture on tPA. Thank you.

[exploringemirates]

My younger sister had her first stoke in December 2019 when she was 20 years old. She is still suffering from stroke. Still in mint condition.face bento ne side unconscious.like face dropping, arm weekness, speech difficulty Then it seems that altiplus was not given. Now can he take altiplus. If someone gives an idea in this regard, I will be greatly benefited

[lolwealego]

Very useful information
Thank you for making it look less complex

[belledel]

Wished you had gone over the waste. Are you wasting alteplase amount, so that what you are giving in the bolus and what is calculated based on weight is the amount given? Also, I thought the bolus which is 10% of the total dose was IVP by MD, here you set up the pump, so that it gives the bolus. Can you please clarify??

[ericaherr]

Do you have a video for thrombolytics specifically, also how to prepare for BKAT..I’m starting training for icu soon and I have to get an 82% or higher. Thank u!

[sergieghalliwell]

When instilling Alteplase for CVC/PICC patency we are often told to aspirate the amount instilled, is that practice outdated. Also, I was told even if the alteplase went into systemic circulation it would probably not do much harm d/t its short half-life.... what are your thoughts on that?

[JL_]

Thanks much! This will be a good reference video.

[bonniehuang]

Great video as always! I didn't know much of its use in PE so this is very helpful (heparin is usually used in the cases I know of) but then I haven't come across super massive ones yet. Thank you!

[michaelburatovich]

This was splendid. Well done. Can Alteplase be used for renal ischemia caused by clots?

[ceceliamendez]

Why do you need to use a 10 ml syringe when trying to restore central line patency? I've also heard that you should never draw blood with anything less than 10 ml due to pressure. I often have to access PICC lines and want to understand why.