Available for acute ischemic stroke and STEMI patients. Multiple kits for Stroke will be stocked in the Omnicell cabinets in the ED. Tenecteplase for STEMI to be stocked in Pharmacy. If Tenecteplase for an inpatient is needed – pharmacy to prepare.
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
tenecteplase (TNKase) As a thrombolytic agent Key: order set
• 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.
As a thrombolytic agent Key: order set