Ran a fairly smooth STEMI alert the other night in a pretty chaotic environment, what stumped me the most was Reopro. The patient was well over 80 kilos so weight-based dosing was maxed out, we just didn't see where the max infusion rate was, and kept trying to calculate it out. We do not give it all that often, so it's certainly a high-risk, low-volume kind of skill. Does anyone have any tips or tricks for improving the process? I'm thinking of putting together a Reopro kit, that would include a laminated card about Repro from our Critical Care Drip Book, filters and syringes to draw up the drug, a 250mL bag of NSS and a Medication Added Label, and the IV pump tubing. All this would be stored in a plastic ziplock bag in the med room (where all these items are stored already, just scattered in bins) and the expectation would be that the last one to use would replenish the items. We have a STEMI kit, which is basically a small tackle box with all the necessary meds (but not Reopro or Heparin).
We are a community hospital and all STEMIs are transferred approximately 30-40 minutes north to the cath lab for intervention.
Featured Replies
Join the conversation
You can post now and register later.
If you have an account, sign in now to post with your account.
Ran a fairly smooth STEMI alert the other night in a pretty chaotic environment, what stumped me the most was Reopro. The patient was well over 80 kilos so weight-based dosing was maxed out, we just didn't see where the max infusion rate was, and kept trying to calculate it out. We do not give it all that often, so it's certainly a high-risk, low-volume kind of skill. Does anyone have any tips or tricks for improving the process? I'm thinking of putting together a Reopro kit, that would include a laminated card about Repro from our Critical Care Drip Book, filters and syringes to draw up the drug, a 250mL bag of NSS and a Medication Added Label, and the IV pump tubing. All this would be stored in a plastic ziplock bag in the med room (where all these items are stored already, just scattered in bins) and the expectation would be that the last one to use would replenish the items. We have a STEMI kit, which is basically a small tackle box with all the necessary meds (but not Reopro or Heparin).
We are a community hospital and all STEMIs are transferred approximately 30-40 minutes north to the cath lab for intervention.