Transcription of DOCTOR’S ORDERS INTRAPLEURAL t-PA and D …
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DOCTOR’S ORDERS INTRAPLEURAL t-PA and D …
HR-01-178 11/03/14 rev. 03/06/15 Page 1 of 2 PATIENT LABEL DOCTOR S ORDERS INTRAPLEURAL t-PA and D-Nase administration ORDERS Adult Critical Care and Telemetry Units ONLY **RESTRICTED TO PULMONARY AND THORACIC SURGERY PROVIDERS** (All ORDERS will be implemented as checked off or modified) PHYSICIAN TO ASSURE 3 WAY STOPCOCK IN PLACE ON INTRAPLEURAL CATHETER BEFORE ORDERING t-PA Chest tube location for Alteplase (t-PA) /Dornase Alfa (DNase) administration : _____ 1. Check one of the following: place chest tube at -20 cm suction _____cm suction 2. Obtain Alteplase (t-PA) 10mg in 30 ml saline and Dornase Alfa (DNase) 5 mg in 30 ml sterile water, each in a separate leur-lock syringe 3. Alteplase (t-PA) /Dornase Alfa (DNase) administration as follows (check one of the following): For non-anticoagulated patients (Repeat every 12 hours for total of six doses Alteplase (t-PA) and six doses Dornase Alfa (DNase) over 72 hours) a.
HR-01-178 11/03/14 rev. 03/06/15 Page 1 of 2 PATIENT LABEL DOCTOR’S ORDERS INTRAPLEURAL t-PA and D-Nase ADMINISTRATION ORDERS Adult Critical Care and Telemetry Units ONLY
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