For adult increased ICP, what TXA dosing is listed?

For adult increased ICP, what TXA dosing is listed?

• A. 1 g in 100 ml over 5 minutes
• B. 2 g in 100 ml, 10 drop set, 3 drops a second over 5 minutes
• C. 5 g bolus
• D. 1 g IV push as a single dose

Answer: (B)

This item tests how tranexamic acid is dosed in adults with increased ICP according to the protocol. The correct approach uses 2 g of tranexamic acid in 100 mL infused over 5 minutes, delivered with a 10-drop-per-milliliter administration set at about 3 drops per second. This delivers the full 2 g quickly to achieve rapid antifibrinolytic effect in acute intracranial situations, while keeping the infusion rate controlled to avoid hemodynamic stress. Alternatives like delivering 1 g in 100 mL over 5 minutes provide only half the listed dose, which isn’t the regimens described for this scenario. A 5 g bolus is a much larger total amount and is not the dosing listed for this ICP context. A single 1 g IV push is also inconsistent with the stated infusion method and total dose.

This item tests how tranexamic acid is dosed in adults with increased ICP according to the protocol. The correct approach uses 2 g of tranexamic acid in 100 mL infused over 5 minutes, delivered with a 10-drop-per-milliliter administration set at about 3 drops per second. This delivers the full 2 g quickly to achieve rapid antifibrinolytic effect in acute intracranial situations, while keeping the infusion rate controlled to avoid hemodynamic stress.

Alternatives like delivering 1 g in 100 mL over 5 minutes provide only half the listed dose, which isn’t the regimens described for this scenario. A 5 g bolus is a much larger total amount and is not the dosing listed for this ICP context. A single 1 g IV push is also inconsistent with the stated infusion method and total dose.