Unique Plan Description: Post tPA Angio edema Treatment
Plan Selection Display: Post tPA Angio edema Treatment
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2023-07-25 14:24:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2023-07-25 14:24:00
Available at all facilities: Yes

Post tPA Angio edema Treatment
Vital Signs
	Vital Signs
		T;N, Q15MIN, then if stable q1h. SBP goal <160mmHg
Medications
	methylPREDNISolone
		125 mg, Injection, IV Push, Once, STAT
	diphenhydrAMINE
		50 mg, Injection, IV Push, Once, STAT
	famotidine
		20 mg, Injection, IV Push, Once, STAT
	EPINEPHrine 1 mg/mL injectable solution
		0.3 mg, Injection, SUBCUTANEOUS, Once, STAT
			Comment: MD discretion, risk of increased BP and hemorrhage
Patient Care
	Discontinue Medication
		T;N, Discontinue tPA if drip still going.
	No ACE (angiotensin converting enzyme) inhibitors
		
	Notify MD
		T;N, Notify ED or ICU MD of signs of angioedema or airway compromise
	Obtain supplies/equipment
		T;N, Assemble airway supplies/Crash cart
	Neurological Assessment-Focused
		T;N, Q15MIN, 4, Dose(s)/Time(s)
			Comment: then if stable q1h
Consults/Follow-up
	Consult Neurologist
		Reason for Referral: ICH on CT
	Consult Tele Neurology (JEFH)
		Reason for Referral: ICH on CT

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase