Unique Plan Description: TPA (Alteplase) FOR STEMI (JE)
Plan Selection Display: TPA (Alteplase) FOR STEMI (JE)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2011-11-22 10:08:43
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-21 12:20:56
Available at all facilities: No

TPA (Alteplase) FOR STEMI (JE)
Laboratory
	PTT - MH/WH/JE
		T;N, Stat, spec type = Blood
Today's Lab
	INR - MH/WH/JE
		T;N, Stat, spec type = Blood
	CBC with Diff
		T;N, Stat, spec type = Blood
Medications

		patient weight >= 67 kg use two orders below(NOTE)*
	Activase
		15 mg, Injection, IV Push, Once, STAT
			Comment: Pharmacy to send bolus
	Activase IVPB
		85 mg, Injection, IVPB, Once, STAT
			Comment: NURSE:  After initial 15mg bolus then infuse this container to run 50mg (50mL) over 30 minutes, then finish pump infusion at 35mg (35mL) over 60 minutes.  Total of 100mg.
		patient weight is > 28 kg to < 68 kg use two orders below(NOTE)*
	Activase
		15 mg, Injection, IV Push, Once, STAT
			Comment: Pharmacy to send bolus
	Activase IVPB
		1.25 mg/kg, Injection, IVPB, Once, STAT
			Comment: NURSE:  After initial 15mg bolus then infuse this container to run [0.75mg/kg]  ___mg (___mL)  [50mg max] over 30 minutes, then finish pump infusion at [0.5mg/kg] ___mg (___mL) [35mg max] over 60 minutes.
		patient weight is <= 28 kg use two orders below.(NOTE)*
	Activase
		15 mg, Injection, IV Push, Once, STAT
			Comment: Pharmacy to send bolus
	Activase IVPB
		1.25 mg/kg, Injection, IVPB, Once, STAT
			Comment: NURSE:  After initial 15mg bolus then infuse this container to run [0.75mg/kg]  ___mg (___mL)  [50mg max] over 30 minutes, then finish pump infusion at [0.5mg/kg] ___mg (___mL) [35mg max] over 60 minutes.
Patient Care
	No IM Injections
		T;N, Avoid Intramuscular injections

*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