KEY: x Heparin concentration for: Infusion – Use 25,000 units/500 ml D5W premixed bag 50 units/ml x For every 50 unit increas e in infusion rate, increase rate.

 

KEY: x Heparin concentration for: Infusion – Use 25,000 units/500 ml D5W premixed bag 50 units/ml x For every 50 unit increas e in infusion rate, increase rate.

 

Medical Center Practice Guidelines are intended to assist physicians and other health care providers in clinical decision-making by describing generally acceptable.

 

Medical Center Practice Guidelines are intended to assist physicians and other health care providers in clinical decision-making by describing generally acceptable.

 

Medical Center Practice Guidelines are intended to assist physicians and other health care providers in clinical decision-making by describing generally acceptable.

 

Medical Center Practice Guidelines are intended to assist physicians and other health care providers in clinical decision-making by describing generally acceptable.

 

ABSOLUTE EXCLUSION CRITERIA FOR IV alteplase tP…………… Known bleeding Platelet count Administration of heparin within 48 hours preceding the onset of stroke.

 

SBP 230 mmHgor DBP 121 to 140 mm Hg SBP 180 to 230 mmHgorDBP 105 to 120 mmHg Labetalol 10 mg IV over 1 to 2 minutes, may repeat q 10 to 20 minutes, maximum dose 300 mg. or Labetalol 10 mg IV followed by an infusion at 2 to 8 mg/minute. Labetalol 10 mg IV

 

Page 1 of 1 Acute Ischemic Stroke Emergency Nurse Responder 1. Indicate choice when options are available by placing a check in thebox; ;markthrough;.

 

- 037A 03-2012 DTPHYORD DTPHYORD ADMISSION ORDERS ISCHEMIC STROKE Page2 of2 Directions: Orders with boxes will be considered valid.

 

- 037 03-2012 DTPHYORD DTPHYORD ADMISSION ORDERS ISCHEMIC STROKE Page1 of 2 Directions: Orders with boxes will be considered valid if checked.

 

Page 1 of 2 Acute Ischemic Stroke Initial Management of Severe Hypertension Patients Eligible for Thrombolytic Therapy 1. Indicate choice when options.

 

Page 1 of 1 Acute Ischemic Stroke Intravenous Tissue Plasminogen Activator t-PA 1. Indicate choice when options are av ailable by placing a check.

 

Page 1 of 1 Acute Ischemic Stroke Initial Management of Severe Hypertension Patient NOT Eligible for Thrombolytic Therapy 1. Indicate choice when options.

 

Medical Center Practice Guidelines are intended to assist physicians and other health care providers in clinical decision-making by describing generally acceptable.

 

Physician Signature: Date: Time:.

 

Labs / Pre-treatment Orders Orders apply to both Sections 1 and2 …………… CBC Other: CBC w/indices every 3 days during heparin therapy.

 

ADDRESSOGRAPH KPage 1 of 1 SITE: Allergies: □ NKA or: Weight kg _______________ Yes No Patient presenting to Emergency Room in a timely manner, such that the drug can be administered.

 

ADDRESSOGRAPH KPage 1 of 1 SITE: Allergies: □ NKA or: Weight kg _______________ Yes No Patient presenting to Emergency Room in a timely manner, such that the drug can be administered.

 

4. If patient on Lovenox enoxaparin , begin Heparin infusion 12 hrs from the last dose and DC enoxaparin. If patient on Pradaxa dabigatran , begin Heparin infusion.

 

4. Corvert ibutilide may only be administered if all below questions are answered with a “Yes”:.

 

Inpatient Outpatient Observation for: Diagnosis: Crohn’s Disease Rheumatoid Arthritis Psoriatic Arthritis Weight: ____ pounds _____ kilograms.

 

Stroke/TIA Admission OrderSet Key:  Indicates mandatory order unless cr ossed out  Indicates optional order, activated when P checked line.

 

Dysrhythmia Protocol Orders Heart and Vascular Institute of Texas ! ! ! , - ,. /0 1 2 23 24 4 5 , 23 24 6 3 7 8 12 1 8 , 38 - 6 - 8238 !34 4 9 2 9 !2 , 2 59 :: 2 2 79 !3 8 , 4 3 4 8 8 4 4 9 !3 8 ; 44 9 ; , 6 2 82 2 59 A B ; 38 7 , 4 8 1 2 34 4 2 4 3 4 8 8

 

Dysrhythmia Protocol Orders Dr. Max Garoutte ! ! , -. /. - 0 12 3 4 45 46 , , - - 6 - 7. - 45 46 , , - 8 - -5 - - - - , 9 34 - 3 - , - - - - 9 -. 59 / , 8 / 9459 56, 6 : 4 , - : 4 -. 4 7: ;; - 4 4 - : 5-9 ,. 6 5- 6 9 6, 6 : 5 9 x-1. 0;֘ x -2. ;鑳 x4 -1; x2

 

Dysrhythmia Protocol Orders Heart and Vascular Institute of Texas ! ! ! , - ,. /0 1 2 23 24 4 5 , 23 24 6 3 7 8 12 1 8 , 38 - 6 - 8238 !34 4 9 2 9 !2 , 2 59 :: 2 2 79 !3 8 , 4 3 4 8 8 4 4 9 !3 8 ; 44 9 ; , 6 2 82 2 59 A B ; 38 7 , 4 8 1 2 34 4 2 4 3 4 8 8

 

! ,-. , / 0 ,1 , Found in C. I. S. Updated 11/7/2006 Admit to : _______________ Notify Stroke Neurology Attending Placement of ArterialLine Thermistor Foley VS Q 15 Min X 4 then Q1hr Hemodynamic.

 

Low Risk Moderate Risk High Risk Ambulatory patient without additional VTE risk factors or expected length of stay 2 days Minor.

 

Emergency Department Emergency Department Policy XI-2C Nursing Policy Procedure Subject: Nursing Protocol Order Sets Approval: ED Unit.

 

One Medical Center Drive, Lebanon, NH 03756 Neurology Scan all pages to Pharmacy Any order preceded by a box must be checked to activate the order. All other.

 

A DULT STROKE HEPARIN PROTOCOL FLOWSHEET Addressograph Date/time of MD order: Secretary initials: RN initials: 1. Continuous Infusion Rates on reverse side.

 

One Medical Center Drive, Lebanon, NH 03756 Neurology Scan all pages to Pharmacy Any order preceded by a box must be checked to activate the order. All other.

 

A DULT STROKE HEPARIN PROTOCOL FLOWSHEET Addressograph Date/time of MD order: Secretary initials: RN initials: 1. Continuous Infusion Rates on reverse side.

 

· · · ! , · - ·. , /0 1 0 ,. 2 3 4 5 - 6 7 , · 8 9 , - · :4 6 1 :7 3 1 :4 4 3 · ; :4 46 :6 46 · · 6 · ; 8 7 · 6 · 8 4 144 ·. ! 4/ 6/. 7/ - · 6 · ;. 2 / 1 - / · · - · 7 · ;. 4 A 66 1 6, · · 4 144 6 · 4 · - · - B. ; 4/C 4 7 · - C

 

rt ACUTE ISCHEMIC STROKE ADMIT ORDERS FOLLOWINGrt-PA ADMINISTRATION ADMITTO ˆ ICU/CCU ndrd 110. 110. 10. Date: Time: TO from Dr. RN Signature Form 703. 049 Rev 7/12.

 

ELMHURST HOSPITAL CENTER Patient Population Neonate Pediatric Adolescent Adult Geriatric I PURPOSE To provide guidelines for the administration of fibrinolytic medications,.