The nurse notes that a patient with cardiac disease has IV heparin infusing and that it is behind by 2 hours. What is the best nursing action?
a. Increase the IV rate and recheck in 1 hour.
b. Change the infusion rate to TKO.
c. Discontinue the solution using aseptic technique.
d. Contact the health care provider for consultation.
ANS: D
The patient has a history of cardiac problems and is receiving a critical care medication, IV heparin. In this case, contacting the patient's health care provider would be appropriate to avoid harm. Increasing the infusion rate might place the patient into fluid overload and might infuse too much heparin in a short time. Reducing the infusion rate to TKO or discontinuing the solution would put the schedule even further behind.
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