alteplase should generally not be interrupted during procedures unless there is a specific physician order.
High Alert Drug: IV thrombolytics/ fibrinolytics
• Electronic order sets available for ordering. • Bleeding Precautions sign hung (in Critical Care). • Physician/Pharmacist independently verify calculation of dose prior to administration. • Two RNs independently verify dosage and pump settings prior to administration.
Per policy, these medications require cardiac and/or special monitoring. (KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
generic (Brand) / Notes
alteplase (Activase) IV Infusion as a thrombolytic agent Key: PE,CVA
Y
N
N
N
N
N
N
N
alteplase (Cathflo) IV Push to declot a catheter Key: designated staff
Refrigerator item (Cathflo)
• Bleeding Precautions sign hung (in Critical Care).
• Physician/Pharmacist independently verify calculation of dose prior to administration.
• Two RNs independently verify dosage and pump settings prior to administration.
(KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
IV Infusion as a thrombolytic agent Key: PE,CVA
IV Push to declot a catheter Key: designated staff