St Elevation Mi (Stemi) Acute Coronary Syndrome (Acs)
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4ST Elevation MI (STEMI) Acute Coronary Syndrome (ACS) [30400721]
If appropriate for patient condition, please consider the following order sets:
Initiate heparin infusion titration orders - weight based (not for use in stroke) Physician Order #580
Initiate Glycoprotein IIB/IIIA Inhibitor Physician Order #636
Height_____________________
Weight_____________________
Allergies____________________
General
Heart Cath
[ ] Heart catheterization or stent
Routine, 1 time imaging, Starting today For 1
Requested Procedure: ___________________________ Required
Reason for Exam: ______________________________ Required
Is the patient pregnant? __________________________ Required
Reason for Exam (USE SIGNS AND SYMPTOMS):
Transport Mode: Bed
Nursing Interventions
[ ] Insert and Maintain IV
"And" Linked Panel
[ ] Insert peripheral IV
STAT, Once, Starting today For 1 Occurrences, Per site specific
protocol
[ ] Maintain IV access
STAT, Until discontinued, Starting today
[ ] Saline lock IV
STAT, Once, Starting today For 1 Occurrences
[ ] sodium chloride 0.9 % flush
3 mL, IntraVENous, As needed, line care, STAT
Respiratory Interventions
[ ] Oxygen therapy
STAT, Continuous, Starting today
O2 Delivery Method: Nasal cannula
Titrate to saturation of: 92%
Indications for O2: Hypoxemia
Indicate LPM/FiO2:
Physician Consults
[X] Consult to Cardiology
Reason for Consult? STEMI
RN/Secretary to contact the consulting provider? Yes
Ancillary Consults
[X] Pharmacy consult for STEMI medication dosing
STAT, Once, Starting today, Will need an addition Consult Order if
heparin dosing is required.
[X] Inpatient consult to Cardiac Cath Lab
Reason for Consult? STEMI
[ ] Nursing Communication
STAT, Until discontinued, Starting today, ACLS Ambulance. Contact
Rural Metro for critical care transport; if delayed, consider alternative
ambulance provider.
Labs
SAH, SCH, SFH, SJMC Chemistry
[ ] B-type natriuretic peptide
STAT, Starting today For 1 Occurrences
[X] Troponin I
Now then every 3 hours, Starting today For 3 Occurrences
[X] Troponin I
Every 12 hours, Starting today For 1 Occurrences
[X] Comprehensive metabolic panel
STAT, Starting today For 1 Occurrences
[X] Creatinine, whole blood
STAT, Starting today For 1 Occurrences
Provider Initial:______________
PATIENT INFORMATION
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ST Elevation MI (STEMI) Acute Coronary
Syndrome (ACS) [30400721]
PHYSICIAN ORDERS
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