Unique Plan Description: TPA (alteplase/dornase) Intrapleural (MH/JE)
Plan Selection Display: TPA (alteplase/dornase) Intrapleural (MH/JE)
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-12-10 11:02:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-04-29 12:42:35
Available at all facilities: No

TPA (alteplase/dornase) Intrapleural (MH/JE)
Laboratory
	INR - MH/WH/JE
		T;N, Stat, spec type = Blood
	PTT - MH/WH/JE
		T;N, Stat, spec type = Blood
	CBC with Diff
		T;N, Stat, spec type = Blood
Medications
	alteplase 10 mg/NS 30 mL syringe
		10 mg, Syringe, IntraPleural, Once, T;N
	dornase alfa 5mg/NS 30mL
		5 mg, Syringe, IntraPleural, Once, T;N
	sodium chloride 0.9% flush injectable soln
		10 mL, Syringe, IntraPleural, Q5MIN, PRN for see comment, duration: 4 Dose(s)/Time(s)
			Comment: flush for alteplase/dornase as needed
Patient Care
	Chest Tube
		T;N+60, Maintain water at 20cm H2O
			Comment: in one hour unclamp chest tube and place to suction. Ok to take off suction PRN.
	Notify MD
		of any bleeding, pain or shortness of breath

*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