DRUG GUIDELINE

Tenecteplase In Stemi
SCOPE (Area): Emergency, ICU, (Exclude: Paediatrics Seek Advice), (Exclude: General Wards), Coronory Care Unit
SCOPE (Staff): Medical, Nursing, Pharmacy
Printed versions of this document SHOULD NOT be considered up to date / current


Exclusions

Paediatrics and General Wards


Preamble

TENECTEPLASE SHORTAGE

Due to a critical stock shortage, tenecteplase will not available to use within Grampians Health Ballarat until further notice.

ALTEPLASE MUST BE USED INSTEAD.

DOSAGE AND ADMINISTRATION OF ALTEPLASE IS DIFFERENT FOR EACH INDICATION (ISCHAEMIC STROKE, PULMONARY EMBOLISM AND STEMI).

Please refer to the alteplase guideline for STEMI via the link below:

       DRG0065 Alteplase in STEMI

See Appendix for full version of this Drug Guideline.


Related Documents

CPP0379 - Acute Coronary Syndrome Management
DRG0030 - Protamine
DRG0038 - Heparin
CPP0222 - User Applied Labelling Of Injectable Medicines, Fluids And Lines
CPP0544 - Intravenous Drug Administration And Classification List
POL0077 - Medication Management
CPP0473 - Alaris Intravenous Infusion System With Guardrails Medication And Fluid Management Software
DRG0065 - Alteplase in STEMI
SOP0001 - Principles Of Clinical Care


References

Alzheimers Australia (2012). What is dementia?
CRC Press Taylor & Francis Group. (2019). Renal Drug Database. Retrieved April 28, 2019 from
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). Mini-mental state a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189-198.
Folstein, M. F., Folstein, S. E., McHugh, P. R. (1975). Mini-mental state a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189-198.
Molloy, D. W., Alemayehu, E., Roberts, R. (1991). Reliability of a standardized mini-mental state examination compared with the traditional mini-mental state examination. American Journal of Psychiatry, 148(1), 102-105.
Rossi, S. (2019, January). Australian Medicines Handbook. Retrieved March 16, 2019, from
The Society of Hospital Pharmacists of Australia. 2019. Australian Injectable Drugs Handbook (7th ed.). Retrieved March 13, 2019, from
Therapeutic Guidelines Limited. (2018, March). Cardiovascular Guidelines. Retrieved March 13, 2019, from
UpToDate, Inc. (2019) UpToDate, Drug Interaction section. Retrieved March 13, 2019, from


Appendix

Appendix 1 - Tenecteplase In STEMI



Reg Authority: Medication Safety & Governance Committee (MSGC) Date Effective: 10/10/2022
Review Responsibility: Pharmacist - Rotational Date for Review: 30/09/2024
Tenecteplase In Stemi - DRG0050 - Version: 6 - (Generated On: 24-05-2025 06:00)