Alteplase - rtPA - Critical Care Medications

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  • Опубліковано 2 лип 2024
  • Alteplase (rTPA) - Thrombolytic agent. 🌎💻 www.icuadvantage.com
    Quick review over rTPA (Alteplase) and its different uses in critical care.
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    ❗️❗️PLEASE NOTE: ICU Advantage medical videos, medical lectures, medical illustrations, and medical animations are for medical education and exam preparation purposes, and not intended to replace recommendations by your doctor or health care provider. The information is present here to give you a starting place to further look in to the proper treatments and recommendations for the care of your patient.
    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

КОМЕНТАРІ • 66

  • @Simplensweett
    @Simplensweett 6 місяців тому

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

  • @mrsscogin
    @mrsscogin 3 місяці тому

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

  • @hangingwithcrystaltee
    @hangingwithcrystaltee 2 роки тому

    Thank you for this awesome video!

  • @maryameboutkhil6909
    @maryameboutkhil6909 2 роки тому

    Very useful! Thank you!!

  • @mikey51951
    @mikey51951 3 роки тому +5

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

    • @ICUAdvantage
      @ICUAdvantage  3 роки тому

      Yes! Very true! Given quite frequently in the ED!

  • @dmarcellus
    @dmarcellus 2 роки тому

    Thanks for another great video.

  • @multitorresa
    @multitorresa 3 роки тому

    amazing videos!!! Thank you so much

    • @ICUAdvantage
      @ICUAdvantage  3 роки тому

      Thank you Luis! I really appreciate that and glad you like them!

  • @JL_79
    @JL_79 3 роки тому

    Thanks much! This will be a good reference video.

    • @ICUAdvantage
      @ICUAdvantage  3 роки тому

      Awesome! That's my goal with this series. Quick, somewhat detailed overview for quick refresher :)

  • @marcdanielacosta9417
    @marcdanielacosta9417 3 роки тому +1

    Thank you for the lesson.

  • @kamilleorate8075
    @kamilleorate8075 2 роки тому

    Thank you for the lectures!

  • @lamyaazeyada554
    @lamyaazeyada554 2 роки тому

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

  • @henriquelopes9596
    @henriquelopes9596 3 роки тому

    Always relevant. Thanks.

  • @Opalinemoonbeam
    @Opalinemoonbeam 5 місяців тому

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

  • @arseniohardrick3123
    @arseniohardrick3123 2 роки тому

    Great education! Vanderbilt Lifeflight stopping by for the knowledge!

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому

      Thanks so much and appreciate you taking the time to leave a comment! Stay safe!

  • @monzilachowdhury6590
    @monzilachowdhury6590 Рік тому

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

  • @SoftSoulBro
    @SoftSoulBro 2 роки тому +1

    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.

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому

      Haha good thing for that! Glad you enjoyed the video.

  • @neelamm16
    @neelamm16 2 роки тому

    Great video thanks!!

  • @justinparker9892
    @justinparker9892 3 роки тому

    Thanks for the content Eddie

  • @bonniehuang8696
    @bonniehuang8696 2 роки тому +2

    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!

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому +1

      Yeah, the indication for PE is massive PE leading to cardiac arrest. Standard treatment is usually heparin and or TNK. We have given it during codes quite a few times. Just a quick push dose, hoping to break things up enough to end the arrest.

  • @sergieghalliwell8753
    @sergieghalliwell8753 3 роки тому

    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?

  • @aubreydayon9776
    @aubreydayon9776 3 роки тому

    Thank u!

  • @lolwealego6951
    @lolwealego6951 3 роки тому +2

    Very useful information
    Thank you for making it look less complex

    • @ICUAdvantage
      @ICUAdvantage  3 роки тому

      This is great to hear. This is my whole goal!

  • @bobkennedy6382
    @bobkennedy6382 3 роки тому

    Awesome!!! Would be cool to know reversals as well!

    • @ICUAdvantage
      @ICUAdvantage  3 роки тому +1

      Good suggestion. Although no real reversal per say. TXA and Amicar are helpful, along with products and factors to try and I guess reverse the effects in a way.

  • @ericaherr9294
    @ericaherr9294 Рік тому

    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!

  • @etomidateem222
    @etomidateem222 Рік тому

    fantastic

  • @immadisarojini2775
    @immadisarojini2775 3 роки тому

    Nicely designed

  • @fikepacitech5467
    @fikepacitech5467 2 роки тому

    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?

  • @michaelburatovich3199
    @michaelburatovich3199 3 роки тому +1

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

    • @ICUAdvantage
      @ICUAdvantage  3 роки тому

      Awesome! Thanks Michael! I don't know if I have ever seen it used for that. I wonder if they may use TNK targeted more directly for that?

  • @barlinaanita6600
    @barlinaanita6600 2 роки тому

    awesome

  • @exploringemirates9998
    @exploringemirates9998 Рік тому

    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

  • @ceceliamendez9907
    @ceceliamendez9907 3 роки тому

    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.

    • @ICUAdvantage
      @ICUAdvantage  3 роки тому +1

      I hadn't hear of drawing with 10ml, but not to infuse with anything less than 10ml. It is because of the pressure. The smaller syringes can create much more force and risk damaging the line in the patient.

  • @belledel4777
    @belledel4777 Рік тому

    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??

  • @mirandaalexis
    @mirandaalexis 3 роки тому

    cathflo is great honestly

  • @aslinurkalenderoglu1131
    @aslinurkalenderoglu1131 3 роки тому

    ❤❤❤❤

  • @phoenixjaphoenixja12
    @phoenixjaphoenixja12 3 роки тому

    Can you please do paralytics?

    • @ICUAdvantage
      @ICUAdvantage  3 роки тому

      Yes! I’ve got them on the todo list!

  • @diboraethiopia.793
    @diboraethiopia.793 3 роки тому

    Is that help for nclex .?

    • @ICUAdvantage
      @ICUAdvantage  3 роки тому

      I don't think this info is covered in NCLEX. Maybe some basics about monitoring and why to use.

  • @travtrav20
    @travtrav20 3 роки тому

    Tpa

  • @0ThrowawayAccount0
    @0ThrowawayAccount0 3 роки тому

    There is no point to this comment. I am only putting this here for the UA-cam Algorithm.

  • @RichardC313
    @RichardC313 2 роки тому

    Man the dose is already complicated why can't it be 1mg/kg rather than 0.9mg/kg!!! Haha. 😡