Time for Fibrinolytic Checklist
Time for Fibrinolytic Checklist
General Items
- Educate patient and family about fibrinolytic therapy
- Review protocol and guidelines for fibrinolytic therapy
Pre-Administration Assessment
- Confirm diagnosis of STEMI
- Assess timing of symptom onset (ideally within 12 hours)
- Check contraindications (e.g., active bleeding, recent surgery)
- Obtain informed consent from the patient
- Perform necessary lab tests (e.g., CBC, PT/INR)
Administration Protocol
- Prepare fibrinolytic agent (e.g., tPA, streptokinase)
- Ensure IV access is established
- Administer fibrinolytic according to protocol
- Monitor vital signs during and after administration
- Document administration time and dosage
Post-Administration Monitoring
- Monitor for signs of bleeding (e.g., hematoma, hemoptysis)
- Check for resolution of chest pain and ST elevation
- Assess for any adverse reactions (e.g., allergic reactions)
- Provide supportive care and re-evaluate patient regularly
- Plan for follow-up imaging (e.g., ECG, echocardiogram)
Generated from Panda Checklist
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