St Elevation Mi (Stemi) Acute Coronary Syndrome (Acs) Page 3
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4Harrison Cardiac Studies
[X] ECG 15 lead
STAT, Now then every 3 hours, Starting today For 3 Occurrences
Reason for Exam (Signs & Symptoms): Chest Pain
[X] ECG 15 lead
STAT, Every 12 hours, Starting today For 1 Occurrences
Reason for Exam (Signs & Symptoms): Chest Pain
Medications
ACS: ASA, Metoprolol, Morphine, Nitroglycerin
[ ] Aspirin EC 325mg PO or 300mg IR
(Single Response)
( ) aspirin chewable tablet 81 mg
324 mg, Oral, Once, For 1 Doses
Do not give if documented in the chart as given by EMS or taken
at home.
Routine
( ) aspirin tablet
325 mg, Oral, Once, For 1 Doses
Do not give if documented in the chart as given by EMS or taken
at home.
Routine
( ) aspirin suppository
300 mg, Rectal, Once, For 1 Doses
Do not give if documented in the chart as given by EMS or taken
at home.
Routine
[ ] Reason for no aspirin on arrival
Reason for no aspirin on arrival?
____________________________________________ Required
[ ] nitroglycerin (NITROSTAT) SL tablet
0.4 mg, SubLINgual, Every 5 minutes, For 3 Doses
Hold if systolic BP less than 90 mmHg.
STAT
[ ] metoprolol (LOPRESSOR) 5 mg/5 mL
5 mg, IntraVENous, Every 5 minutes, For 3 Doses
Hold if systolic BP less than 90 mmHg or heart rate less than 60
bpm.
STAT
[ ] metoprolol (LOPRESSOR) tablet
25 mg, Oral, Every 6 hours, For 48 Hours
(begin 15 minutes after last IV dose). Hold if systolic BP less than
90 mmHg or heart rate less than 60 bpm.
STAT
[ ] morphine injection
2-4 mg, IntraVENous, Every 5 min PRN, severe pain
Maximum dose 10 mg IV per hour and 30 mg IV in 4 hours. Hold if
systolic BP less than 90 mmHg.
Routine
ACS: Clopidogrel - Prasugrel (Single Response)
( ) clopidogrel (PLAVIX) tablet
300 mg, Oral, Once, For 1 Doses
In consultation with Cardiologist
STAT
( ) clopidogrel (PLAVIX) tablet
600 mg, Oral, Once, For 1 Doses
In consultation with Cardiologist
STAT
( ) prasugrel 10 mg tablet
60 mg, Oral, Once, For 1 Doses
In consultation with Cardiologist
STAT
Nitroglycerin Infusion
[X] nitroglycerin infusion 200 mcg/mL
10 mcg/min, IntraVENous, at 3 mL/hr, Continuous
Titrate PRN chest pain. Hold if systolic BP less than 90 mmHg.
STAT
[X] sodium chloride 0.9% (NS) infusion
100 mL/hr, IntraVENous, Continuous, STAT
Provider Initial:______________
PATIENT INFORMATION
Page 3 of 4
ST Elevation MI (STEMI) Acute Coronary
Syndrome (ACS) [30400721]
PHYSICIAN ORDERS
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