Order: 500 mL D5W with heparin 5,000 units IV to infuse at 1,000 ...

[Garrulous]

Order: 500 mL D5W with heparin 5,000 units IV to infuse at 1,000 units/h.
 
 
 
  Calculate the flow rate. Flow rate: __________ mL/h
 Fill in the blank(s) with correct word

Question 2

The following questions refer to your patient who is on IV heparin therapy according to the Standard Weight-Based Heparin Protocol noted below. The patient weighs 144 pounds. On admission, the patient's APTT is 30 seconds. You initiate IV heparin therapy at 1130 on 06/06/XX. Record your answers in the spaces below unless provided with the Standard Weight Based Heparin Protocol Worksheet by your instructor.
 
  Standard Weight-Based Heparin Protocol
  For all patients on heparin drips:
  1. Weight in KILOGRAMS required for order to be processed: ______ kg.
  2. Heparin 25,000 units in 250 mL of 1/2 NS. Boluses to be given as 1,000 units/mL.
  3. APTT q.6h or 6 hours after rate change; daily after two consecutive therapeutic APTTs.
  4. CBC initially and repeat every ____ day(s).
  5. Obtain APTT and PT/INR on day one prior to initiation of therapy.
  6. Guaiac stool initially, then every __ day(s) until heparin discontinued. Notify if positive.
  7. Neuro checks every ____ hours while on heparin. Notify physician of any changes.
  8. D/C APTT and CBC once heparin drip is discontinued unless otherwise ordered.
  9. Notify physician of any bleeding problems.
  10. Bolus with 80 units/kg. Start drip at 18 units/kg/h.
  11. If APTT is < 35 secs: Rebolus with 80 units/kg and increase rate by 4 units/kg/h.
  12. If APTT is 36-44 secs: Rebolus with 40 units/kg and increase rate by 2 units/kg/h.
  13. If APTT is 45-75 secs: Continue current rate.
  14. If APTT is 76-90 secs: Decrease rate by 2 units/kg/h.
  15. If APTT is > 90 secs: Hold heparin for 1 hour and decrease rate by 3 units/kg/h.
 
  At 0600, on 06/07/XX, the patient's APTT is 50 seconds. What should you do now?
 
  When should the APTT be checked again? __________ (hours) on __________ (date)
 Fill in the blank(s) with correct word

[stallen]

Answer to Question 1

100

Answer to Question 2

Maintain the rate at 14 mL/h

Recheck APTT at 0600 on 06/08/XX

[Garrulous]

Excellent

[bigcheese9]

Great answer, keep it coming