Thrombolytic Checklist
Thrombolytic Checklist
General Items
- Educate the patient and family about the therapy and potential side effects
- Ensure follow-up imaging or lab tests are scheduled as needed
- Review and update emergency protocols for thrombolytic therapy
Pre-Administration Assessment
- Confirm indication for thrombolytic therapy (e.g., myocardial infarction, stroke, pulmonary embolism)
- Assess contraindications (e.g., active bleeding, recent surgery)
- Obtain informed consent from the patient or legal guardian
- Review patient's medical history for any potential drug interactions
- Check current medications for anticoagulants or antiplatelet agents
Preparation
- Gather necessary equipment (IV supplies, thrombolytic agent, monitoring devices)
- Ensure thrombolytic agent is within expiration date
- Prepare the thrombolytic agent according to protocol (reconstitution if needed)
- Label the thrombolytic agent with patient information and time of preparation
Administration Protocol
- Establish IV access (preferably a large-bore catheter)
- Administer thrombolytic agent as per protocol (bolus vs. infusion)
- Monitor vital signs continuously during administration
- Assess for signs of bleeding or adverse reactions during infusion
Post-Administration Care
- Continue monitoring vital signs post-administration
- Observe for signs of reperfusion (e.g., chest pain relief)
- Monitor for complications (e.g., bleeding, allergic reactions)
- Document administration details in patient records (time, dosage, patient response)
Generated from Panda Checklist
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