Clot Busters

[aus nurse]

Hi all,

Just interested what thrombolytics you people are using?

I'm in a rural area, 3 hours away from PTCA etc, so of course our first line is thrombolysis.

We use Streptokinase (unless had before) or rpa (just changed from tpa).

Are we years behind you guys or is this common there too?

Greetings from sunny australia :cool:

[ZASHAGALKA, RN]

Our hospital has a door to balloon in 90 min goal, so we don't use thrombolytics here. But our outlier facilities use a TNKase and turf policy.

I think TNKase is preferred because it allows for cath right away. Because even our TNKased pts from the outlying facilities come to us with a time to balloon under 3 hours.

We never could take them straight to cath lab on the other thrombolytics. Too juicy. But I will say this, pulling a sheath on a tenectaplased pt is a nerve-wracking experience.

~faith,

Timothy.

[augigi, CNS]

tPA (Alteplase)

[gwenith, BSN, RN]

We use Metalyse a lot here, except of course on non-englishe speaking people who will be the ones getting the streptokinase - leaving it up to us to try to explain that they must not have it again for 2 years:rolleyes:

[shadowflightnurse]

I have done transport nursing for about 6 years. I frequently see Retavase and TNK. Both will still go directly to the cath lab, usually. I remember when I first started nursing, the patients either got thrombolytics OR PTCA, never both. What irritates me is when the cardiologist flat out doesn't want to come in and just says to give them thrombolytics and I'll see them tomorrow. :angryfire