Alteplase - rtPA - Critical Care Medications

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  • Опубликовано: 12 июл 2024
  • Alteplase (rTPA) - Thrombolytic agent. 🌎💻 www.icuadvantage.com
    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

Комментарии • 66

  • @Simplensweett
    @Simplensweett 6 месяцев назад

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

  • @mikey51951
    @mikey51951 3 года назад +5

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

    • @ICUAdvantage
      @ICUAdvantage  3 года назад

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

  • @mrsscogin
    @mrsscogin 4 месяца назад

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

  • @hangingwithcrystaltee
    @hangingwithcrystaltee 2 года назад

    Thank you for this awesome video!

  • @dmarcellus
    @dmarcellus 2 года назад

    Thanks for another great video.

  • @maryameboutkhil6909
    @maryameboutkhil6909 2 года назад

    Very useful! Thank you!!

  • @marcdanielacosta9417
    @marcdanielacosta9417 3 года назад +1

    Thank you for the lesson.

  • @multitorresa
    @multitorresa 3 года назад

    amazing videos!!! Thank you so much

    • @ICUAdvantage
      @ICUAdvantage  3 года назад

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

  • @kamilleorate8075
    @kamilleorate8075 2 года назад

    Thank you for the lectures!

  • @JL_79
    @JL_79 3 года назад

    Thanks much! This will be a good reference video.

    • @ICUAdvantage
      @ICUAdvantage  3 года назад

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

  • @henriquelopes9596
    @henriquelopes9596 3 года назад

    Always relevant. Thanks.

  • @Opalinemoonbeam
    @Opalinemoonbeam 5 месяцев назад

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

  • @justinparker9892
    @justinparker9892 3 года назад

    Thanks for the content Eddie

  • @monzilachowdhury6590
    @monzilachowdhury6590 Год назад

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

    • @ICUAdvantage
      @ICUAdvantage  Год назад +1

      Youre welcome! Glad you found this!

  • @SoftSoulBro
    @SoftSoulBro 2 года назад +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 года назад

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

  • @arseniohardrick3123
    @arseniohardrick3123 2 года назад

    Great education! Vanderbilt Lifeflight stopping by for the knowledge!

    • @ICUAdvantage
      @ICUAdvantage  2 года назад

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

  • @neelamm16
    @neelamm16 2 года назад

    Great video thanks!!

  • @lamyaazeyada554
    @lamyaazeyada554 2 года назад

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

  • @aubreydayon9776
    @aubreydayon9776 3 года назад

    Thank u!

  • @bobkennedy6382
    @bobkennedy6382 3 года назад

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

    • @ICUAdvantage
      @ICUAdvantage  3 года назад +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.

  • @bonniehuang8696
    @bonniehuang8696 2 года назад +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 года назад +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.

  • @lolwealego6951
    @lolwealego6951 3 года назад +2

    Very useful information
    Thank you for making it look less complex

    • @ICUAdvantage
      @ICUAdvantage  3 года назад

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

  • @immadisarojini2775
    @immadisarojini2775 3 года назад

    Nicely designed

  • @etomidateem222
    @etomidateem222 Год назад

    fantastic

  • @ericaherr9294
    @ericaherr9294 Год назад

    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!

  • @barlinaanita6600
    @barlinaanita6600 2 года назад

    awesome

  • @sergieghalliwell8753
    @sergieghalliwell8753 3 года назад

    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?

  • @michaelburatovich3199
    @michaelburatovich3199 3 года назад +1

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

    • @ICUAdvantage
      @ICUAdvantage  3 года назад

      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?

  • @mirandaalexis
    @mirandaalexis 3 года назад

    cathflo is great honestly

  • @fikepacitech5467
    @fikepacitech5467 2 года назад

    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?

  • @exploringemirates9998
    @exploringemirates9998 Год назад

    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 года назад

    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 года назад +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 Год назад

    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??

  • @phoenixjaphoenixja12
    @phoenixjaphoenixja12 3 года назад

    Can you please do paralytics?

    • @ICUAdvantage
      @ICUAdvantage  3 года назад

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

  • @aslinurkalenderoglu1131
    @aslinurkalenderoglu1131 3 года назад

    ❤❤❤❤

  • @diboraethiopia.793
    @diboraethiopia.793 3 года назад

    Is that help for nclex .?

    • @ICUAdvantage
      @ICUAdvantage  3 года назад

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

  • @travtrav20
    @travtrav20 3 года назад

    Tpa

  • @0ThrowawayAccount0
    @0ThrowawayAccount0 3 года назад

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

  • @RichardC313
    @RichardC313 2 года назад

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