Summary Hemorrhagic Stroke Provider Order Set: Western Maryland Health System Clinical Guidelines

Print All




&D Page &p of &P




Hemorrhagic Stroke
General
Admit patients to a stroke unit
Vital signs
Every 30 minutes for 3 hours, every hour for 24 hours, then every 4 hours
Neuro Status Monitoring, Order
Every 30 minutes for 3 hours, every hour for 24 hours, then every 4 hours
Glasgow Coma Scale Order
Every 30 minutes for 3 hours, every hour for 24 hours, then every 4 hours
every 4 hours
NIH Stroke Scale Order
On admission to unit
once a day with morning assessment
Other
Diet
NPO until dysphagia screening completed
PUREED DIET
Other
Medications
Antidotes and Rescue Agents
phytonadione
2.5 milligram intravenously once
2.5 milligram orally once
5 milligram orally once
Antiepileptics
diazepam
5 milligram intravenously every 5 minutes for maximum dose of 15 milligrams
LORazepam
2 milligram intravenously every 5 minutes for a maximum dose of 6 milligrams
fosphenytoin
1 gram intravenously once loading dose
100 milligram intravenously every 8 hours maintenance dose
levETIRAcetam
500 milligram intravenously once loading dose
500 milligram intravenously every 12 hours maintenance dose
Antihypertensives
enalaprilat
0.625 milligram intravenously NOW test dose
1.25 milligram intravenously EVERY 6 HOURS AS NEEDED
labetalol
intravenously TITRATE DOSE PER PROTOCOL
10 milligram intravenously every 20 minutes maximum of 4 doses, (maximum bolus dose is 300
milligram/24 hours)
niCARdipine
intravenously TITRATE DOSE PER PROTOCOL



Physician/Date/Time: Nurse/Date/Time: Secretary/Date/Time:

_________________________ _______________________ ________________________

Full page of orders requires only one physician, one nurse and one clerical signature



Original: 10/2013 Revised: Reviewed: Form #: 6.5­001