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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?

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Started by Oliver
Last post Best Answer Reply by lisalynn
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 2345, the patient's APTT is 46 seconds. What should you do now?

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Started by DebiWo
Last post Best Answer Reply by Clotto
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. What does the protocol/sample orders indicate for the initial infusion rate for this patient?

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Started by BioMan
Last post Best Answer Reply by Cyclops
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. Calculate the dosage of heparin that should be administered for the bolus for this patient. ​ __________ units ​ What does the protocol indicate as the required solution concentration (supply dosage) of heparin to use for the bolus?

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Started by Aaron42
Last post Best Answer Reply by Zada8201
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. What is the patient's weight as measured in kilograms?

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