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/clinical/cckm-tools/content/order-sets/inpatient/neurosciences/name-98168-en.cckm

201707209

page

100

UWHC,UWMF,

Tools,

Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Order Sets,Inpatient,Neurosciences

Stroke Thrombolysis Panel

Stroke Thrombolysis Panel - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Neurosciences


STROKE THROMBOLYSIS PANEL [119683]
Vital Signs [NURMON0013] SEE COMMENTS, Routine
Temperature Measurement Method:
Temperature Measurement Restrictions:
BP Source:
BP Location:
BP Position:
BP Restrictions:
Now and every 15 minutes times 12, then every 30
minutes times 12, then every hour
Assess Neurologic Status [NURMON0006] SEE COMMENTS, Routine, Assess neurologic status
using "UWHC Abbreviated NIHSS Flowsheet" - Now
and every 15 minutes times 12, then every 30 minutes
times 12, then every hour
Contact provider prior to administering treatment
for angioedema reaction [NURCOM0022]
ONCE For 1 Occurrences
Measure Weight [NURMON0015] ONCE, Starting S For 1 Occurrences, Routine
Weigh With?
Weigh when?
Cardiac Rhythm Monitoring - Adult
[NURMON0010]
INTERMITTENT (MAY REMOVE WHEN OFF
UNIT/BATHING), Starting S, Routine
Notify Provider: Symptomatic Change in
Rhythm,Serious Arrhythmia
Functional Cardiac Defibrillator Present:
Notify provider if Blood glucose is less than 50
milligram/deciliter or greater than 400
milligram/deciliter [NURCOM0022]
CONTINUOUS, Starting S
Notify provider if patient requiring more than 2
labetalol doses (20 milligram) in a 4 hour period
[NURCOM0022]
CONTINUOUS, Starting S
Notify provider if complaint of headache, rise in
systolic blood pressure greater than 15 mm Hg, or
change in neurologic status urgent
[NURCOM0022]
CONTINUOUS, Starting S
Notify provider if complaint of pain
[NURCOM0022]
CONTINUOUS, Starting S
Insert and Maintain Additional Peripheral IV for
tPA [NURVAD0013]
CONTINUOUS, Starting S, Routine
Peripheral IV Size: RN Discretion
Does this need to be inserted/placed?
labetalol injection [800192] 10 mg, Intravenous, EVERY 10 MINUTES PRN,
systolic blood pressure greater than 180 mmHg or
diastolic blood pressure greater than 105 mmHg
Hold if heart rate less than 52 beats per minute
alteplase (ACTIVASE) injection from kit [785101] 0.09 mg/kg, Intravenous, ONCE For 1 Doses
Maximum dose 9 mg. Follow with alteplase bag
for 1 Minutes
alteplase (ACTIVASE) vial kit [785066] 0.81 mg/kg, Intravenous, ONCE For 1 Doses
Maximum dose 81 mg. Give following bolus injection
for 60 Minutes
sodium chloride 0.9% BOLUS [730003] 50 mL, Intravenous, ONCE For 1 Doses
Near end of the infusion as the infusing alteplase bag
is nearly empty, replace the empty alteplase bag with
the sodium chloride 0.9% 50 mL bag to ensure the
total alteplase dose is infused over the programmed
60 minute infusion
Page 1 of 2
Printed by SPENCER, LINDSEY M [LMS033] at 7/27/2017 10:01:19 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 07/2017CCKM@uwhealth.org

diphenhydramine (BENADRYL) injection [800106] 50 mg, Intravenous, ONCE PRN For 12 Hours,
Angioedema Reaction - See Admin. Inst.
Contact provider prior to administering treatment for
angioedema reaction
Give in combination with ranitidine and
dexamethasone
famotidine in sodium chloride 0.9% (PEPCID) 2
MG/ML injection [755272]
20 mg, Intravenous, ONCE PRN For 12 Hours,
Angioedema Reaction - See Admin. Inst.
Contact provider prior to administering treatment for
angioedema reaction.
Give in combination with diphenhydramine and
dexamethasone
dexamethasone (DECADRON) intraVENOUS
[800037]
10 mg, Intravenous, ONCE PRN For 12 Hours,
Angioedema Reaction - See Admin. Inst.
Contact provider prior to administering treatment for
angioedema reaction
Give in combination with ranitidine and
diphenhydramine
Page 2 of 2
Printed by SPENCER, LINDSEY M [LMS033] at 7/27/2017 10:01:19 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
07/2017CCKM@uwhealth.org