Fibrinolytic Therapy Checklist
Fibrinolytic Therapy Checklist
General Items
- Document all findings and interventions in the patient’s chart.
- Educate patient on potential side effects and signs of complications.
Pre-Therapy Assessment
- Confirm diagnosis of acute myocardial infarction or acute ischemic stroke.
- Assess contraindications for fibrinolytic therapy.
- Review patient's medical history for bleeding disorders.
- Evaluate patient's current medications for interactions.
- Obtain informed consent from the patient.
Laboratory Tests
- Obtain baseline laboratory tests (CBC, PT/INR, aPTT).
- Check renal function (BUN, creatinine).
- Type and crossmatch blood if necessary.
Administration Protocol
- Select appropriate fibrinolytic agent (e.g., alteplase, tenecteplase).
- Prepare and prime IV line for medication administration.
- Administer fibrinolytic agent according to protocol.
- Monitor vital signs closely during and after administration.
Post-Therapy Monitoring
- Monitor for signs of reperfusion (chest pain relief, ST segment resolution).
- Watch for potential complications (bleeding, allergic reactions).
- Check neurological status if treating stroke.
- Follow up with echocardiogram or imaging as needed.
Generated from Panda Checklist
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