Unique Plan Description: Vasc Surg PE Thrombolysis
Plan Selection Display: Vasc Surg PE Thrombolysis
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2016-10-17 14:02:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2025-01-14 14:34:49
Available at all facilities: No

Vasc Surg PE Thrombolysis
IV Solutions
	HEParin 25,000 units/premixed diluent 250 mL
		250 mL, IV, 12 hr
		25,000 units, EVERY BAG, 500 units/hr
		<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML><HEAD><META content="text/html; charset=windows-1252" http-equiv=Content-Type><STYLE> BODY margin:0; P margin:0 </STYLE><META name=GENERATOR content="MSHTML 11.00.9600.20512(NOTE)*
		<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML><HEAD><META content="text/html; charset=windows-1252" http-equiv=Content-Type><STYLE> BODY margin:0; P margin:0 </STYLE><META name=GENERATOR content="MSHTML 11.00.9600.20512(NOTE)*
	Alteplase 12mg/NS 250mL
		12 mg, EVERY BAG
		250 mL, Catheter, STAT, T;N, 1 Dose(s)/Time(s), 21 ml/hr
			Comment: Infusion rate: 21ml/hr (1mg/hr) Infuse via LEFT pulm artery infusion catheter, Total IV fluids at 125ml/hr while tpa infusing. Begin enoxaparin 1mg/kg SC q12h once tpa infusion is complete.Pharmacy to inquire on procedure start time with Main OR to ensure proper tpa start time.
	Sodium Chloride 0.9%
		1,000 mL, IV, 12 hr, 35 ml/hr
			Comment: via LEFT coolant port
		1,000 mL, IV, 12 hr, 30 ml/hr
			Comment: via LEFT coolant sheath
		<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML><HEAD><META content="text/html; charset=windows-1252" http-equiv=Content-Type><STYLE> BODY margin:0; P margin:0 </STYLE><META name=GENERATOR content="MSHTML 11.00.9600.20512(NOTE)*
	Alteplase 12mg/NS 250mL
		12 mg, EVERY BAG
		250 mL, Catheter, STAT, T;N, 1 Dose(s)/Time(s), 21 ml/hr
			Comment: Infusion rate: 21ml/hr (1mg/hr)  Infuse via RIGHT pulm artery infusion catheter, Total IV fluids at 125ml/hr while tpa infusing.  Begin enoxaparin 1mg/kg SC q12h once tpa infusion is complete.Pharmacy to inquire on procedure start time with Main OR to ensure proper tpa start time.
	Sodium Chloride 0.9%
		1,000 mL, IV, 12 hr, 35 ml/hr
			Comment: via RIGHT coolant port
		1,000 mL, IV, 12 hr, 30 ml/hr
			Comment: via RIGHT coolant sheath
		<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML><HEAD><META content="text/html; charset=windows-1252" http-equiv=Content-Type><STYLE> BODY margin:0; P margin:0 </STYLE><META name=GENERATOR content="MSHTML 11.00.9600.20512(NOTE)*
		<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML><HEAD><META content="text/html; charset=windows-1252" http-equiv=Content-Type><STYLE> BODY margin:0; P margin:0 </STYLE><META name=GENERATOR content="MSHTML 11.00.9600.20512(NOTE)*
	Alteplase 12mg/NS 250mL
		12 mg, EVERY BAG
		250 mL, Catheter, STAT, T;N, 1 Dose(s)/Time(s), 21 ml/hr
			Comment: Infusion rate: 21ml/hr (1mg/hr) Infuse via LEFT pulm artery infusion catheter, Total IV fluids at 125ml/hr while tpa infusing. Begin enoxaparin 1mg/kg SC q12h once tpa infusion is complete.Pharmacy to inquire on procedure start time with Main OR to ensure proper tpa start time.
	Sodium Chloride 0.9%
		1,000 mL, IV, 12 hr, 30 ml/hr
			Comment: via LEFT pulmonary artery sheath
		<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML><HEAD><META content="text/html; charset=windows-1252" http-equiv=Content-Type><STYLE> BODY margin:0; P margin:0 </STYLE><META name=GENERATOR content="MSHTML 11.00.9600.20512(NOTE)*
	Alteplase 12mg/NS 250mL
		12 mg, EVERY BAG
		250 mL, Catheter, STAT, T;N, 1 Dose(s)/Time(s), 21 ml/hr
			Comment: Infusion rate: 21ml/hr (1mg/hr) Infuse via RIGHT pulm artery infusion catheter, Total IV fluids at 125ml/hr while tpa infusing. Begin enoxaparin 1mg/kg SC q12h once tpa infusion is complete.Pharmacy to inquire on procedure start time with Main OR to ensure proper tpa start time.
	Sodium Chloride 0.9%
		1,000 mL, IV, 12 hr, 30 ml/hr
			Comment: via RIGHT pulmonary artery sheath
Consults/Follow-up
	Pharmacy Consult
		pharmacy to review tpa orders STAT. Please deliver to pt room within 30 minutes of OR start time
		Pharmacy to enter order for enoxaparin 1mg/kg q12hr to start once alteplase infusion complete.

*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