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tPA / TNK Indications & Contraindications

AHA/ASA 2019 Guidelines ESO 2021 Guidelines

tPA / TNK Dosing

Alteplase (Recombinant Tissue Plasminogen Activator) Dosing

Total dose: 0.9 mg/kg split into a bolus dose and infusion dose over 60 minutes.

Bolus dose: 10% of the 0.9 mg/kg treatment dose

Infusion dose: 90% of the 0.9 mg/kg treatment dose delivered over 60 minutes

Tenecteplase Dosing

Patient weight (kg) TNKase (mg) Volume TNKase to be administered (mL)
<60 kg 15 mg 3 mL
≥60 to <70 kg 17.5 mg 3.5 mL
≥70 to <80 kg 20 mg 4 mL
≥80 to <90 kg 22.5 mg 4.5 mL
≥90 kg 25 mg 5 mL

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Please direct questions to Ivan Trang at cwtrang@gmail.com.