Patient Name: HEOTEST, TOMMY 

Age: 34 years  Gender: Location: 2WB W235  01  Height: 185.4 cm  Weight: 79.5 kgs  BMI: 23.1  Serum Creatinine: ?? Date Drawn: 09/09/2011 06:35am 
Ordering Clinician: PATERSON

Select the Patient's Location for Lab Label printing:
MAIN ED   PRIORITY   ECC/Chest Pain Center

Complete blood cell count with automated differential Zynx Evidence Link
Complete blood cell count without differential
Comprehensive metabolic panel (CMP)
Basic metabolic panel (BMP)
Hepatic panel
Lipase level, serum
Prothrombin time (PT) with international normalized ratio (INR)
Partial thromboplastin time (PTT), activated
Pregnancy test, serum Zynx Evidence Link
Pregnancy test, urine
CK with CKMB
CK total
Chest single view chest pain
Insert IV with site care management
Insert second large bore IV with site care management
12-lead EKG CHEST PAIN Zynx Evidence Link
Telemetry monitoring
-Pulse oximeter
-Initiate oxygen protocol
Notify cardiologist on call/cardiac cath lab immediately of AMI
Place checklist for thrombolytic contraindications on the chart
IV Fluids  
NS bolus IV Zynx Evidence Link
NS IV Zynx Evidence Link
aspirin chewable (if not allergic or if not taken prior to arrival) ORAL; chew and swallow
nitroglycerin [NITROSTAT] 0.4 MG SL Q5MIN PRN for 3 DOSES
nitroglycerin infusion [TRIDIL] 5 MCG/MIN IV CONTINUOUS TITRATE to a maximum of 200 MCG/MIN to pain free, keep SBP greater than 100 MMHG
morphine for severe pain; Zynx Evidence Link
clopidogrel [PLAVIX] ORAL
metoprolol tartrate [LOPRESSOR] 5 MG IV EVERY 5 MIN for 3 DOSES keeping SBP greater than 90 MMHG and pulse greater than 60 BPM
ondansetron [ZOFRAN] ONCE for nausea/vomiting
Anticoagulants: Unfractionated Heparin This will follow heparin protocol, yet to be developed   Zynx Evidence Link
Do not exceed 4000 Unit bolus maximum
heparin 60 UNIT/KG IV ONCE initial dose
heparin IV CONTINUOUS maintenance dose; dose adjustment per heparin protocol
Other   Zynx Evidence Link
Initiate heparin protocol
Initiate bivalirudin [ANGIOMAX] protocol
Initiate alteplase [ACTIVASE] protocol
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