ĐĎॹá>ţ˙ lnţ˙˙˙k˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙ěĽÁ'` đż•5bjbj"9"9 *:@S@S{˙˙˙˙˙˙¤,đđđ8($LD,sœœ(ÄÄÄÄÄÄarcrcrcrcrcrcr$ vhˆxt‡rEÄÄÄÄćrÄÄĚr|||ÄŠÄÄar|Äar||Jo\!rĐ  ˘›2…ÍđNÖyqBarâr0sťqfüx$üx„!rüx!r@|ÄÄćr‡r$XÄÄÄsÄÄÄÄ,,,Äđ,,,đ,,,˙˙˙˙ Subject ID: _____________________ Treatment Group: Standard / Intensive Patient Care: Do not delay nicardipine start, it is part of standard of care. Study enrollment can take place after Nicardipine drip is started Nurse Care Order: Use dedicated IV line for Nicardipine (central line preferred.) If using peripheral line, rotate IV site every 12 hours and monitor site closely. Notify MD: If SBP above targeted range after 30 minutes on maximum dose of Nicardipine (15 mg/ hour). Notify MD: If SBP less than minimum of Treatment Group range. For the standard treatment group, notify physician if nicardipine has been titrated downward according to the titration chart provided and SBP is still below the assigned range after 30 minutes. For the high-intensity treatment group, stop nicardipine if SBP falls below 110 mm Hg. Notify physician and prepare to administer an IV fluid bolus. Notify physician immediately of any neurological changes. Primary care team will implement a blood pressure management plan to start 24 hours following the initiation of the study. (This may or may not include Nicardipine.) Contact study team with any ATACH-II related questions: Stroke Trials # - (347) 220-8585 PI Steven Levine, MD - x3188 Coordinator Vanessa Arnedo - (631) 662-6307 Investigator/Stroke Fellow Susan Law – (917) 219-1238 Patient in recumbent position with HOB elevated minimum 15 degrees. Pharmacy This patient is enrolled in the ATACH-II trial, and has been assigned to the following treatment group: Standard treatment group (SBP target range 140 – 180 mm Hg) High-intensity treatment group (SBP target range 110 – 140 mm Hg) Request ATACH-II Study Drug Nicardipine by using the T-System Free-text “Investigational Study – Nicardipine Drip (ATACH-II) – Standard/Intensive Treatment” – choose either standard or intensive depending on randomization Take box of 10 bags with patient; Unopened bags (in boxes) may be returned to pharmacy for up to 24 hours. Titrate study drug nicardipine according to titration charts provided by pharmacy or ATACH-II study team with study drug. Check pump settings and mg/hr dosing rates carefully. Start IV Nicardipine at 5 mg/hour and titrate by 2.5 mg /hour every 15 minutes to reach & maintain SBP range for the assigned treatment group. Do not exceed maximum dose of 15 mg/hour. Use “Nicardipine Drip Study Drug Titration Chart” that is provided for study drug nicardipine. Standard Treatment Group: SBP in range of 160-180 mm HG High Intensity Treatment Group: SBP in range of 125-140 mm HG Medication Instruction: Additional antihypertensive medications only as specified in study protocol. (Consult physician or study coordinator with questions.) Monitoring and VS Treatment Assignment: ˘% Standard Treatment (SBP 160 - 180 mm Hg) ˘% Intensive Treatment (SBP 125- 140 mm Hg) Nicardipine infusion start: Date:_____/______/______ Time: ____:_____ AM /PM Randomization Date:_____/______/______ Time: ____:_____ AM /PM Record BP: Every 5 minutes for the first 15 minutes Every 15 minutes for the first hour Every 5-15 minutes when titrating nicardipine drip Every 30 minutes for the remainder of the 24 hours following randomization. Continuously monitor SpO2% and pulse rate. (Record per unit standard and/or with BP readings.) Neuro checks every 30 minutes (focal) with complete neuro check every 2 hours for 24 hours. Monitor urine output closely according to unit routine (at least every 2 hours for first 24 hours) and watch for signs of hypoperfusion. Imaging Non-contrast head CT at 24 hours from randomization Exam to start ą 8 hours from ____:____ AM /PM on ___/___/___ Labs and Tests NOTE: Labs at 24, 48 & 72 hours from randomization: Chem panel, platelets, hemoglobin, hematocrit, and glucose. Basic Metabolic Panel ą 3 hours from ____:____ AM /PM on ___/___/___ for 24-hour draw ą 3 hours from ____:____ AM /PM on ___/___/___ for 48-hour draw ą 3 hours from ____:____ AM /PM on ___/___/___ for 72-hour draw Platelets ą 3 hours from ____:____ AM /PM on ___/___/___ for 24-hour draw ą 3 hours from ____:____ AM /PM on ___/___/___ for 48-hour draw ą 3 hours from ____:____ AM /PM on ___/___/___ for 72-hour draw Hemoglobin ą 3 hours from ____:____ AM /PM on ___/___/___ for 24-hour draw ą 3 hours from ____:____ AM /PM on ___/___/___ for 48-hour draw ą 3 hours from ____:____ AM /PM on ___/___/___ for 72-hour draw Hematocrit ą 3 hours from ____:____ AM /PM on ___/___/___ for 24-hour draw ą 3 hours from ____:____ AM /PM on ___/___/___ for 48-hour draw TUVd|}¤šČ É Í ß â ç č   I J ” ž „…ŒŹÂĈL‚Őć§Çć fŠśúőńčŕŘŕŘŕÎżłżł ŕ“‹ŕčyŕčqŕqŕqŕyŕhŕŘŕŘŕčŕh4>*OJQJhcvOJQJh4OJQJhňEHţ˙OJQJhňOJQJhňh4EHţ˙OJQJ$hKzh4CJEHţ˙OJQJmH sH hcvOJQJmH sH hKzh4OJQJmH sH h4EHţ˙OJQJh\OJQJh4OJQJh4>*OJQJh4 h46 hľUj6(UVd¤ć‹ ň 0 ó ô Š ‹ Ĺ Ć m n Ś É úőóáááááĎÉĎÇľŻľŻľ & F Ć´ź„ź„L˙^„ź`„L˙„h^„h & F ĆhĐ„Đ„˜ţ^„Đ`„˜ţ„8^„8 & F Ćh „ „˜ţ^„ `„˜ţ & F ĆhĐ„Đ„˜ţ^„Đ`„˜ţ$a$gdľUj5”5ýýÉ č  J  ‘ ’ “ ”  ž B„…ÄíííŰŐŐŐŐŐŐĂąą§• & F ĆhĐ„Đ„˜ţ^„Đ`„˜ţ  Ć „^„ & F Ćh „ „˜ţ^„ `„˜ţ & F ĆhĐ„Đ„˜ţ^„Đ`„˜ţ„^„ & F ĆhĐ„Đ„˜ţ^„Đ`„˜ţ & F Ć´ź„ź„L˙^„ź`„L˙ÄeĐŃL‚ƒ<›Ó"$ďçÝËšłĄ}}s  Ćp„^„ & F Ćhp„p„˜ţ^„p`„˜ţ & F Ćh „ „˜ţ^„ `„˜ţ & F ĆhĐ„Đ„˜ţ^„Đ`„˜ţ„^„ & F Ćh „ „˜ţ^„ `„˜ţ & F ĆhĐ„Đ„˜ţ^„Đ`„˜ţ  Ć „^„ & Fgdcv & F„T„L˙^„T`„L˙gdcv $`bdfŠśl¤.š˛&ZŚíçççççççççççŐĂĂĂĂą§  ĆĐ„^„ & F ĆhĐ„Đ„˜ţ^„Đ`„˜ţ & F Ćh „ „˜ţ^„ `„˜ţ & F ĆhĐ„Đ„˜ţ^„Đ`„˜ţ„^„ & F ĆhĐ„Đ„˜ţ^„Đ`„˜ţśĆöRj Œ’”˜íőOSTVXhvW[\^`™ž ˘ćęëíď(,-/1jnoqsš˝žŔÂű˙=ABDFŒ‘“•öěöäöěöäŮĎÄäŮĎÄäťäŮĎÄŮäťäŮĎÄŮäŮĎÄŮäŮĎÄŮäŮĎÄŮäŮĎÄŮäŮĎÄŮäŮĎÄŮäŮĎÄŮäŮĎÄŮäŮĎÄŮh4>*OJQJh4CJH*OJQJh4CJOJQJh4CJH*OJQJh4OJQJh\OJPJQJh4OJPJQJJbcěíő)hwçý?ĂÄíăíăݘݴ‹‹‹…„8^„8 & F Ćh „ „˜ţ^„ `„˜ţ & F ĆhĐ„Đ„˜ţdđ¤^„Đ`„˜ţ & F Ćh „ „˜ţ^„ `„˜ţgdKz & F ĆhĐ„Đ„˜ţ^„Đ`„˜ţ„^„  ĆĐ„^„ & F ĆhĐ„Đ„˜ţ^„Đ`„˜ţÄÎR”•–Ąă%ghitčÖÖÖĐɲ   Đɉ & F ĆhĐ„Đ„˜ţdđ¤^„Đ`„˜ţ & F Ćh „ „˜ţ^„ `„˜ţ & F ĆhĐ„Đ„˜ţdđ¤^„Đ`„˜ţdđ¤„8^„8 & F Ćh „ „˜ţ^„ `„˜ţ & F ĆhĐ„Đ„˜ţdđ¤^„Đ`„˜ţ tśřB4C4D4S4•4×455555!5"5$5%5M5N5v5íííçŕɡˇˇľľľľľľľľłľł & F Ćh „ „˜ţ^„ `„˜ţ & F ĆhĐ„Đ„˜ţdđ¤^„Đ`„˜ţdđ¤„8^„8 & F Ćh „ „˜ţ^„ `„˜ţ•ÎŇÓŐ×ř44444!4k4o4p4r4t4­4ą4˛4´4ś4ď4ó4ô4ö4ř4555555 5"5#5%5L5M5u5v5w5x5~55€55‚5ƒ5„5…5†5Œ55říăŘířÖříăŘíříăŘíříăŘíříăŘířĐČÄČÄČÄČÄŔŽŔŽŔ¤ž¤“¤ž‰ŽŔ¤ž¤h4B*CJphű˙űhň0JmHnHu h\0Jjh\0JU#h4B*CJOJPJQJ_Hph˙h4h™=ójh™=óU h40JUh4CJH*OJQJh4CJOJQJh4CJH*OJQJh4OJQJ6ą 3 hours from ____:____ AM /PM on ___/___/___ for 72-hour draw Glucose Level ą 3 hours from ____:____ AM /PM on ___/___/___ for 24-hour draw ą 3 hours from ____:____ AM /PM on ___/___/___ for 48-hour draw ą 3 hours from ____:____ AM /PM on ___/___/___ for 72-hour draw     ATACH-II Research Study Specific Orders ATACH-II Research Study Specific Orders PAGE 2 PAGE 1 v5w5‚5„5…55’5”5•5ýńăýńăýŃ & F Ćh „ „˜ţ^„ `„˜ţ Ć÷„h]„hgd\ „ř˙„&`#$gd45Ž555‘5’5“5”5•5ôęäÚČÄŔş h40Jh™=óh4#h4B*CJOJPJQJ_Hph˙h4B*CJphű˙ű h\0Jjh\0JUhň0JmHnHu(°Đ/ °ŕ=!° "° # $ %°°Đ°` Đ†œŇ@ń˙Ň NormalE$$$¤¤Čd*$1$@& ]„^„`„$a$-DMĆ ˙˙e568:;<7S*CJOJPJQJ@ˆmH phsH tH _HH*>*KHEHaJfHqĘ ˙˙DA@ň˙ĄD Default Paragraph Fontdió˙łd  Table Normal.aöö4Ö4Öl4Ö4Öl (kô˙Á(No ListČţOń˙ňČ Title AE$$$¤¤dđ*$1$@& ]„^„`„$a$-DMĆ ˙˙Y568:;<7S*CJOJPJQJ@ˆmHphsHH*>*KHEHfHqĘ ˙˙ĆţOń˙Ć Body AE$$$¤¤dđ*$1$@& ]„^„`„$a$-DMĆ ˙˙Y568:;<7S*CJOJPJQJ@ˆmH phsH H*>*KHEHfHqĘ ˙˙ÖţOń˙Ö List ParagraphE$$$¤¤Čd*$1$@& ]„^„Đ`„$a$-DMĆ ˙˙Y568:;<7S*CJOJPJQJ@ˆmH phsH H*>*KHEHfHqĘ ˙˙4 @"4 \Footer  ĆŕŔ!.)@˘1. \ Page Number:˙˙˙˙UVd¤ć‹ň0óôŠ‹ĹĆmnŚÉčJ‘’“”žB„…ÄeĐŃL‚ƒ < › Ó   ° ą ˛ ł Ĺ Ű 6 R ˆ — Í Ů  & Z Ś   b c ě í ő )hwçý?ĂÄÎR”•–Ąă%ghitśř:;<KĎEFnoz|}ˆŠŽ˜0€€˜0€€€˜0€€€˜ 0€€˜ 0€€˜ 0€€˜ 0€€˜ 0€€˜ 0€€˜0€€˜ 0€€˜0€€˜ 0€€˜0€€˜ 0€€˜0€€˜ 0€€˜ 0€€˜ 0€€˜ 0€€˜ 0€€˜ 0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜ 0€€˜ 0€€˜ 0€€˜0€€˜ 0€€˜ 0O€˜ 0€€˜0€€˜ 0€€˜ 0€€˜0€€˜ 0€€˜ 0€€˜ 0€€˜ 0€€˜ 0€€˜0€€˜ 0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜ 0€€˜ 0€€˜ 0€€˜ 0€€˜ 0€€˜ 0€€˜0€€˜ 0€€˜0€€˜ 0€€˜0€€˜0€€˜ 0€€˜ 0€€˜0€€˜0€€˜ 0€€˜ 0€€˜ 0€€˜ 0€€˜0€€˜ 0€€˜ 0€€˜ 0€€˜ 0€€˜0€€˜0€€˜ 0€€˜ 0€€˜ 0€€˜ 0€€˜0€€˜0€€˜ 0€€˜ 0€€˜ 0€€˜ 0€€˜0€€˜0€€˜ 0€€˜ 0€€˜ 0€€˜ 0€€¨Ń00Eȑ00ݨŃ00Eȑ00ݨŃ00Eȑ00ݨŃ00Eȑ00ݘ@0€€¨Ń00E˜@0€€¨Ń00˜@0€€@0€€¨Ń00˜@0€€@0€€Č‘00€Ý 5^lzzz}ś•5•5É Ä$Ätv5•5”5^eglsu}!˙•€!˙•€q|ĘŐÖáfq!,_jĘÚÜßŕ祏čóäďŒ—A L Ž ™ 6 A H S  : ? 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