Ischemic CP Fibrinolytic Checklist - Flowchart

Ischemic CP Fibrinolytic Checklist - Flowchart

Ischemic CP Fibrinolytic Checklist - Flowchart Ischemic CP Fibrinolytic Checklist Ischemic CP Fibrinolytic Checklist

Flowchart

CP >15 min and <12 hr

CP >15 min and <12 hr

CP >15 min and <12 hr

ST elevation or new LBBB

ST elevation or new LBBB

ST elevation or new LBBB

Stop

Stop

Stop

Contraindications (all must be checked "NO")

SBP >180 mm Hg ...................................................... Yes/No
DBP >110 mm Hg ...................................................... Yes/No
SBP difference >15 mm Hg R-L ................................ Yes/No
Structural CNS disease ............................................ Yes/No
Head trauma w/in 3 mo ........................................... Yes/No
GI bleed w/in 6 wk ................................................... Yes/No
Surgery w/in 6 wk .................................................... Yes/No
Major trauma w/in 6 wk .......................................... Yes/No
Pregnant ................................................................... Yes/No
CPR lasting >10 min ................................................. Yes/No
Serious systemic disease ........................................ Yes/No

Contraindications (all must be checked "NO")

SBP >180 mm Hg ...................................................... Yes/No
DBP >110 mm Hg ...................................................... Yes/No
SBP difference >15 mm Hg R-L ................................ Yes/No
Structural CNS disease ............................................ Yes/No
Head trauma w/in 3 mo ........................................... Yes/No
GI bleed w/in 6 wk ................................................... Yes/No
Surgery w/in 6 wk .................................................... Yes/No
Major trauma w/in 6 wk .......................................... Yes/No
Pregnant ................................................................... Yes/No
CPR lasting >10 min ................................................. Yes/No
Serious systemic disease ........................................ Yes/No

Contraindications (all must be checked "NO")

NO

SBP >180 mm Hg ...................................................... Yes/No
DBP >110 mm Hg ...................................................... Yes/No
SBP difference >15 mm Hg R-L ................................ Yes/No
Structural CNS disease ............................................ Yes/No
Head trauma w/in 3 mo ........................................... Yes/No
GI bleed w/in 6 wk ................................................... Yes/No
Surgery w/in 6 wk .................................................... Yes/No
Major trauma w/in 6 wk .......................................... Yes/No
Pregnant ................................................................... Yes/No
CPR lasting >10 min ................................................. Yes/No
Serious systemic disease ........................................ Yes/No

SBP >180 mm Hg ...................................................... Yes/No
DBP >110 mm Hg ...................................................... Yes/No
SBP difference >15 mm Hg R-L ................................ Yes/No
Structural CNS disease ............................................ Yes/No
Head trauma w/in 3 mo ........................................... Yes/No
GI bleed w/in 6 wk ................................................... Yes/No
Surgery w/in 6 wk .................................................... Yes/No
Major trauma w/in 6 wk .......................................... Yes/No
Pregnant ................................................................... Yes/No
CPR lasting >10 min ................................................. Yes/No
Serious systemic disease ........................................ Yes/No

Criteria for high risk Pts. (if any are checked "YES", Pts. should be transferred to PCI facility)

HR greater than or equal to 100 and SBP <100 mm Hg .......................... Yes/No
Pulmonary edema .................................................... Yes/No
Signs of shock .......................................................... Yes/No
Contraindications (see above) ................................ Yes/No

Criteria for high risk Pts. (if any are checked "YES", Pts. should be transferred to PCI facility)

HR greater than or equal to 100 and SBP <100 mm Hg .......................... Yes/No
Pulmonary edema .................................................... Yes/No
Signs of shock .......................................................... Yes/No
Contraindications (see above) ................................ Yes/No

Criteria for high risk Pts. (if any are checked "YES", Pts. should be transferred to PCI facility)

YES

HR greater than or equal to 100 and SBP <100 mm Hg .......................... Yes/No
Pulmonary edema .................................................... Yes/No
Signs of shock .......................................................... Yes/No
Contraindications (see above) ................................ Yes/No

HR greater than or equal to 100 and SBP <100 mm Hg .......................... Yes/No
Pulmonary edema .................................................... Yes/No
Signs of shock .......................................................... Yes/No
Contraindications (see above) ................................ Yes/No

Source: American Heart Association

Source: American Heart Association

Source: American Heart Association

Source: American Heart Association Source: American Heart Association

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Yes

Yes

Yes

No

No

No

Yes

Yes

Yes

No

No

No