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I'm a pharmacist that responded to a code on the floor @ 0200.
Anyways, the ER doc asked for TPA for a cardiac arrest taking place on one of the telemetry beds. We pushed the bolus and were getting ready to hang the remaining infusion when the ER doc took the bag out of the nurses hand and squeezed the remaining into the patient.
The patient ended up in the ICU with an intracranial bleed and bleeding out of all of his IV sites. The pt expired the next day.
Is there any evidence supporting pushing everything in? We hardly ever use TPA. We have an emergency cath lab team on call also, should this patient have been sent their instead for an emergency cath?
Am I liable for anything since I did not oppose the push?
Anyways, the ER doc asked for TPA for a cardiac arrest taking place on one of the telemetry beds. We pushed the bolus and were getting ready to hang the remaining infusion when the ER doc took the bag out of the nurses hand and squeezed the remaining into the patient.
The patient ended up in the ICU with an intracranial bleed and bleeding out of all of his IV sites. The pt expired the next day.
Is there any evidence supporting pushing everything in? We hardly ever use TPA. We have an emergency cath lab team on call also, should this patient have been sent their instead for an emergency cath?
Am I liable for anything since I did not oppose the push?