Heparin Drip Practice

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Moraine Valley Community College *

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433

Subject

Medicine

Date

Dec 6, 2023

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docx

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2

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Heparin Drip Practice Your patient has been newly diagnosed with a Pulmonary Embolism. The physician orders for you to bolus the patient with 7,500 of heparin and then start a heparin drip at 18 units/kg/hour. Your patient is 176 pounds. 1. What nursing considerations and actions must you think about prior to initiating the heparin drip? aPPT weight coagulation studies draw ppt pt INR is drawn any signs of bleeding wont start it bleed risk otc meds educate the patient on gentle shaving and tooth brushing risk of bleeding if develop bleeding REPORT it heparin. Drip- then give coumadin eventually will go home on coumadin explain briding therapy – coumadin wont be theruaptic until couple days but giving heparin until coumadin levels are therapeutic Kwak 02/25/21
Heparin Drip Practice 2. The pharmacy supplies a heparin vial for you bolus. The vial reads 5,000 units/ml. How much will you administer IVP for the bolus dose? 1.5ml 3. Calculate how many units per hour will you need to run your heparin drip at. 1440 units per hour 4. The heparin drip bag arrives from pharmacy. The bag reads 25,000 units per 250ml. What will you run your infusion at? 14.4 ml/hr 5. After 6 hours, you draw an aPTT and it results at 83. What is your next step? Decrease by 2units/ml/hr now we will be at 16/kg/hr 6. What will your infusion rate be now? 12.8ml/hr Kwak 02/25/21
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