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    tPA (Tissue Plasminogen Activator) Dosing for Stroke Calculator

    Doses tPA for stroke.
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    IMPORTANT

    This calculator is for double-checking tPA dosing, and should NOT be used as the primary means for ordering tPA.

    INSTRUCTIONS

    Use in ischemic stroke patients only. Do NOT use in acute coronary syndrome or PE.

    When to Use
    Pearls/Pitfalls
    Why Use

    This calculator is intended solely for calculating the alteplase (tPA) dose for ischemic stroke. It does not apply to dosing for acute coronary syndromes or pulmonary embolism.

    • Remember that up to 20 mL (20 mg) tPA will remain in the pump tubing regardless of the method of preparation (withdrawing waste from vial before administration or leaving waste volume in the vial).
    • Standard practice is to infuse up to 50 mL of 0.9% sodium chloride at the same rate after the tPA vial is empty.

    Because of the time-sensitive, high-stress, infrequent nature of ischemic stroke cases receiving tPA, there is risk for medication error. Using a calculator to double check dosing prior to administration can reduce the risk of error.

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    Next Steps
    Evidence
    Creator Insights

    Advice

    Administer tPA when indicated.
    Content Contributors
    • Bryan D. Hayes, PharmD
    About the Creator
    Bryan D. Hayes, PharmD
    Are you Bryan D. Hayes, PharmD?
    Content Contributors
    • Bryan D. Hayes, PharmD