Unique Plan Description: Vasc Surg Arterial Thrombolysis
Plan Selection Display: Vasc Surg Arterial Thrombolysis
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2016-10-17 14:01:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-12-09 09:10:27
Available at all facilities: No

Vasc Surg Arterial Thrombolysis
IV Solutions
	HEParin 25,000 units/premixed diluent 250 mL
		25,000 units, EVERY BAG, 500 units/hr
		250 mL, IV, Routine, T;N
		EKOs:(NOTE)*
	alteplase 5 mg/NS 500 mL
		500 mL, Catheter, STAT, 1 Dose(s)/Time(s), 25 ml/hr
			Comment: conc: 0.01mg/mLInfuse via infusion catheter.Pharmacy to inquire on procedure start time with Main OR to ensure proper tpa start time.
		5 mg, EVERY BAG, 0.25 mg/hr
	Sodium Chloride 0.9%
		1,000 mL, IV, 35 ml/hr
			Comment: via coolant port
		1,000 mL, IV, 30 ml/hr
			Comment: via sheath
	alteplase 5 mg/NS 250 mL
		250 mL, Catheter, STAT, 1 Dose(s)/Time(s), 12.5 ml/hr
			Comment: conc: 0.02mg/mLInfuse via infusion catheter.Pharmacy to inquire on procedure start time with Main OR to ensure proper tpa start time.
		5 mg, EVERY BAG, 0.25 mg/hr
	Sodium Chloride 0.9%
		1,000 mL, IV, 35 ml/hr
			Comment: via coolant port
		1,000 mL, IV, 30 ml/hr
			Comment: via sheath
	alteplase 10 mg/ NS 250 mL
		250 mL, Catheter, STAT, T;N, 1 Dose(s)/Time(s), 12.5 ml/hr
			Comment: conc: 0.04mg/mLInfuse via infusion catheter.Pharmacy to inquire on procedure start time with Main OR to ensure proper tpa start time.
		10 mg, EVERY BAG, 0.5 mg/hr, T;N
	Sodium Chloride 0.9%
		1,000 mL, IV, 35 ml/hr
			Comment: via coolant port
		1,000 mL, IV, 30 ml/hr
			Comment: via sheath
	alteplase 20mg/NS 250mL
		250 mL, Catheter, STAT, 1 Dose(s)/Time(s), 12.5 ml/hr
			Comment: conc: 0.08mg/mLInfuse via infusion catheter.Pharmacy to inquire on procedure start time with Main OR to ensure proper tpa start time.
		20 mg, EVERY BAG, 1 mg/hr
	Sodium Chloride 0.9%
		1,000 mL, IV, 35 ml/hr
			Comment: via coolant port
		1,000 mL, IV, 30 ml/hr
			Comment: via sheath
		Catheter:(NOTE)*
	alteplase 5 mg/NS 500 mL
		500 mL, Catheter, STAT, 1 Dose(s)/Time(s), 25 ml/hr
			Comment: conc: 0.01mg/mLInfuse via infusion catheter.Pharmacy to inquire on procedure start time with Main OR to ensure proper tpa start time.
		5 mg, EVERY BAG, 0.25 mg/hr
	alteplase 5 mg/NS 250 mL
		250 mL, Catheter, STAT, 1 Dose(s)/Time(s), 12.5 ml/hr
			Comment: conc: 0.02mg/mLInfuse via infusion catheter.Pharmacy to inquire on procedure start time with Main OR to ensure proper tpa start time.
		5 mg, EVERY BAG, 0.25 mg/hr
	alteplase 10 mg/ NS 250 mL
		250 mL, Catheter, STAT, T;N, 1 Dose(s)/Time(s), 12.5 ml/hr
			Comment: conc: 0.04mg/mLInfuse via infusion catheter.Pharmacy to inquire on procedure start time with Main OR to ensure proper tpa start time.
		10 mg, EVERY BAG, 0.5 mg/hr
	alteplase 20mg/NS 250mL
		250 mL, Catheter, STAT, T;N, 1 Dose(s)/Time(s), 12.5 ml/hr
			Comment: conc: 0.08mg/mLInfuse via infusion catheter.Pharmacy to inquire on procedure start time with Main OR to ensure proper tpa start time.
		20 mg, EVERY BAG, 1 mg/hr
Consults/Follow-up
	Pharmacy Consult
		Please deliver to pt room within 30 minutes. Pharmacy to prepare partial alteplase dose to continue after initial infusion, to continue until catheter check.

*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