The dose of TXA used in HALT-IT was 2- to 4-fold higher than intravenous (IV) doses typically used for other hemorrhagic indications, while the treatment
by RP Smith 2024 Cited by 32We conducted a study to compare the cost, efficacy, and safety of intravenous (IV) tranexamic acid (TXA) and topical TXA in primary total hip arthroplasty
Time from injury to IV TXA dose: 1.1hr; Time between IV and IM TXA doses: 1.8hrs; The data demonstrated that IM TXA follows a two-compartment open model with first-order absorption and elimination After a single TXA dose of 1g IM a concentration of 5mg/L would be achieved in 4min and remain above this level for 10h
Maximum plasma TXA concentrations were dose dependent. At 20 mg/kg, IV, plasma TXA concentrations briefly exceeded concentrations suggested for
by U Gökçer 2024 Cited by 1For this reason, the plasma TXA concentration should be 10 ng/mL and this plasma concentration can be obtained with a 10 mg/kg dose of IV TXA in 3 h (22). In
TXA should be administered at a fixed dose of 1 g in 10 mL (100 mg/mL) IV at 1 mL per minute (i.e, administered over 10 minutes), with a second dose of 1 g IV if bleeding continues after 30 minutes. TXA should be administered via an IV route only for treatment of PPH. Research on other routes of TXA administration is a priority.
Informational video on how to prepare TXA and Oxytocin for IV infusion. How to Calculate IV Drip Rate (Gtt)
by MJ Colomina 2024 Cited by 115TXA group: An i.v. infusion of 10 mg kg−1 of TXA (Amchafibrin A recent study recommended high-dose TXA (total maximum dose, 100 mg
Note: 3 groups 1) out-of-hospital 1g IV TXA followed by in-hospital 1 g IV over 8 hours; 2) out-of-hospital 2 g IV TXA followed by in-hospital placebo; 3) out-of-hospital and in-hospital placebo. Almost 25% of all groups had no TBI; over 40% had no intracranial hemorrhage on initial imaging (either died before imaging or no TBI).
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The main character falls unconscious in a hospital. “IV”. Think about it.