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Unformatted text preview: Date _______________ Neuro Symptom Onset _______________ Arrival Mode:
Ordering Physician_______________________________________ Neuro Consult:
Weight _______________ kg Total dose to be administered ______________ (0.9 mg/kg not to exceed 90 mg)
Bolus start time: _________________ Infusion start time:________________ Infusion end time: _________________
(bolus dose = 10% of total dose, given over 1 minute, followed by infusion of remainder of dose over 1 hour)
Blood Pressure Monitoring (every 15 min x 2 hrs, every 30 min x 6 hrs, every 1 hr x 16 hrs, then every 2-4 hours per unit protocol)
Initial -30m -15m Bolus
Start +15m +30m +45m +1hr +1hr
45m +2hr +2hr
30m +3hr Monitor
30m +4hr +4hr
30m +5hr +5hr
30m +6hr +6hr
30m +7hr +7hr
30m +8hr +9hr +10hr +11hr Monitor
Initial +12hr +13hr +14hr +15hr +16hr +17hr +18hr +19hr +20hr +21hr +22hr +23hr +24hr Complications:
Surface bleeding GI bleeding Neurological deterioration Intracranial hemorrhage Repeat CT
Other: describe below ____________________________________________________________________________ Signature Init. Signature Patient Identiﬁcation Sutter Medical Center, Sacramento
A Sutter Health Afﬁliate t-PA for Stroke Flowsheet
21942 (8/13/09) FLOWSHEET Init. Signature Init. ...
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This note was uploaded on 12/26/2009 for the course PHYS 341 taught by Professor Mavromatis during the Spring '09 term at American University of Beirut.
- Spring '09