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Dictionary · Abbreviation

TPA

An abbreviation for tissue plasminogen activator (alteplase), a clot-dissolving drug; ISMP advises writing the full drug name.

tee-pee-ay (said as letters) abbreviationDo not use

What it means

Shorthand, written TPA or tPA, for tissue plasminogen activator, the clot-dissolving (thrombolytic) drug alteplaseAL-tuh-playsA clot-dissolving drug (thrombolytic) given IV; a man-made form of tissue plasminogen activator.Full entry (Activase), used for stroke, pulmonary embolism and blocked catheters. ISMP lists TPA and tPA as error-prone because they have been confused with TNK (tenecteplase), a different clot-dissolving drug with a different dose, and with TXA (tranexamic acid), which does the opposite.

For the nurse

Write and say "alteplase" in full and double-check the drug and dose against the order and the client's weight. Thrombolytics are on ISMP's high-alert list.

At a glance

Also writtentPA, t-PA

Easy to confuse with

TXA

An abbreviation for tranexamic acid, a drug that slows the breakdown of blood clots; ISMP advises writing the full name.

TNK

An abbreviation for TNKase (tenecteplase), a clot-dissolving drug; ISMP advises writing the full drug name.

Related terms

anticoagulant

A drug that slows the blood's ability to form clots.

alteplase

A clot-dissolving drug (thrombolytic) given IV; a man-made form of tissue plasminogen activator.

TXA

An abbreviation for tranexamic acid, a drug that slows the breakdown of blood clots; ISMP advises writing the full name.

TNK

An abbreviation for TNKase (tenecteplase), a clot-dissolving drug; ISMP advises writing the full drug name.

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