Stroke Order Set 2 - Pharmacy Practice News

USE BALL POINT PEN ONLY – WRITE FIRMLY.
AUTOMATIC STOP ORDERS:
24 Hours OXYTOCICS and ANTINEOPLASTICS
72 Hours Schedule II Control Drugs
3 Days All I.V. Solutions
5 Days All Oral and I.V. Antibiotics, Anti-infectives
7 Days Anticoagulants, Corticosteroids, (EXCEPT TOPICAL),
Schedule III, IV, V Control Drugs
14 Days All Other Medication
*Unless otherwise specified by physician
HEIGHT WEIGHT ALLERGIES
Page 4 of 4
DIAGNOSIS
DATE & TIME
OF ORDER
STROKE UNIT ADMISSION ORDERS -
PATIENTS NOT RECEIVING ALTEPLASE (t-PA) THERAPY
Blood Pressure Management: Non-rtPA Patients
Goal BP Management = 15% Reduction In BP from baseline
If Systolic BP is 180 mm Hg or Diastolic BP 100 mm Hg, do not treat BP unless other
end organ failure e.g., aortic dissection, acute MI, pulmonary edema, hypertensive
encephalopathy is present.
Systolic BP >180 mm Hg OR diastolic BP 100 mm Hg
Labetalol 10 mg IV over 1-2 minutes. (Note: Labetalol may be repeated every 10-20 minutes to
maximum dose of 300 mg)
If BP systolic >180 mg Hg or diastolic >100 mm Hg within 10 minutes of initial dose, notify physician
and
Repeat Labetalol 10 mg IV over 1-2 minutes.
Labetalol Infusion
start.
OR
Labetolol 10 mg IV over 1-2 minutes bolus then start Labetalol infusion at 2-8 mg/minute
Infusion: Labetalol 200 mg in 160 ml normal saline (concentration =1 mg/1ml)
Notify physician if BP systolic >180 mg Hg or diastolic >100 mm Hg 15 minutes after infusion
Nitropaste 1 inch to chest wall. Notify physician If BP systolic >180 mg Hg or
diastolic >100 mm Hg within 10 minutes, OR
Nitropaste 2 inches to chest wall. Notify physician If BP systolic >180 mg Hg or
diastolic >100 mm Hg within 10 minutes, OR
Nicardipine infusion 25 mg in 250 ml at 5 mg/hour, titrate up by 2.5 mg/hour
at 5-15 minute intervals to maximum dose of 15 mg/hour. Reduce to 3 mg/hour when
BP