Unique Plan Description: Vasc Surg PE Thrombolysis HI PEITHO trial
Plan Selection Display: Vasc Surg PE Thrombolysis HI PEITHO trial
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2021-11-03 07:51:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2022-09-01 15:18:32
Available at all facilities: No

Vasc Surg PE Thrombolysis HI PEITHO trial
IV Solutions
	HEParin 25,000 units/premixed diluent 250 mL
		25,000 units, EVERY BAG, 500 units/hr
		250 mL, IV, 12 hr
			Comment: Infuse until Alteplase (TPA) infusion is complete and first dose of Enoxaparin 1mg/kg has been administered;
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	alteplase 7 mg/NS 250 mL
		250 mL, Catheter, STAT, T;N, 1 Dose(s)/Time(s), 36 ml/hr
			Comment: Infusion rate: 36 ml/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.
		7 mg, EVERY BAG
	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
		Right pulmonary artery(NOTE)*
	alteplase 7 mg/NS 250 mL
		250 mL, Catheter, STAT, T;N, 1 Dose(s)/Time(s), 36 ml/hr
			Comment: Infusion rate: 36ml/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.
		7 mg, EVERY BAG
	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
Consults/Follow-up
	Pharmacy Consult
		pharmacy to review tpa orders STAT. Please deliver to pt room within 30 minutes of OR start time
		Follow up to insure enoxaparin 1mg/kg SC q12h is started once TPA finished

*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