Ordered: heparin infusion 1000 units per hour, for a patient with thrombophlebitis Available: heparin 25,000 units in 500 mL NS Infusing: heparin solution at 40 mL per hour How many units per hour are being infused?
a. DA equation:
b. Evaluation: IV flow rate the nurse should set on the infusion pump, in milliliters per hour:
c. DA equation:
d. Evaluation of math and flow rate:
a.
b. Equation is balanced. Only units per hour remain. Flow rate is twice the rate it should be.
c.
d. Equation is balanced. Only mL per hour remains. Flow rate must be reduced to 20 mL per hour. Notify prescriber. Monitor aPTT levels. Monitor patient for bleeding. Document per agency policy.
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