You are initiating intravenous Heparin protocol on a newly a…
You are initiating intravenous Heparin protocol on a newly admitted patient. The patient weighs 140 pounds. The physician’s orders are: Bolus dose of 60 units/kg IV, rounded to the nearest 100 units (e.g., 6850 units would be rounded to 6900 units). Begin IV infusion of heparin at 18 units/kg/hr. Obtain PTT every 6 hours and adjust the infusion using the heparin protocol scale. You have Heparin 25,000 units/250 ml (100 units/ml). Heparin Protocol Scale: PTT < 35 Bolus 70 units/kg and increase drip by 4 units/kg/hr PTT 35-54 Bolus 35 units/kg and increase drip by 3 units/kg/hr PTT 55-85 Therapeutic – no change PTT 86-100 Decrease drip by 2 units/kg/hr PTT > 100 Hold infusion 1 hour; decrease drip by 3 units/kg/hr, then restart drip How many units should the nurse administer for this patient’s initial bolus? Record your answer using a whole number. Round your answer to the nearest 100 units. [BLANK-1] units How many ml should the nurse administer for this patient’s initial bolus? Record your answer using a whole number. [BLANK-2] ml How many ml/hour should the nurse infuse the heparin after the bolus is given? Record your answer using one decimal place. [BLANK-3] ml/hr After the infusion has been running for 6 hours, the PTT is 34. How many units should the nurse administer as the bolus for a PTT of 34 according to the protocol? Record your answer using a whole number. Round your answer to the nearest 100 units. [BLANK-4] The nurse should change the continuous infusion rate to how many ml/hour for a PTT of 34? Record your answer using a whole number. [BLANK-5] ml/hr
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