The physician orders the patient to be started on Heparin infusion for DVT using the Heparin Protocol below. The patient is 5’10 tall and weighs 176lbs.  Weight Based Heparin Protocol: Give the patient a bolus of heparin 80 units/kg (Use Stock: Heparin sodium 10,000 Units/mL for IV use). Start Heparin infusion to run at 18 units/kg/hr (Use standard concentration: 25,000 units heparin in 250 mL D5W). Check aPTT in 6 hours after infusion started. Adjust heparin therapy based on the table below. Heparin Protocol aPTT results Bolus or Hold Change Infusion Rate Order aPTT lab again PTT < 35 Bolus 80 units/kg Increase by 4 units/kg/hr  6 hours after bolus PTT 36-45 Bolus 40 units/kg Increase by 3 units/kg/hr  6 hours after bolus PTT 46-56 None Increase by 2 units/kg/hr 6 hours after an increase PTT 57-75 None No change In the morning and daily PTT 76-90 None Decrease by 2 units/kg/hr  6 hours after a decrease PTT 90-120 Hold infusion 1 hr Decrease by 3 units/kg/hr  6 hours after a decrease PTT > 120 Hold infusion 2 hr Decrease by 4 units/kg/hr  6 hours after a decrease   What is the newly adjusted infusion pump rate? Record your answer to the nearest whole number.________mL/hr  

The physician orders the patient to be started on Heparin infusion for DVT using the Heparin Protocol below. The patient is 5’10 tall and weighs 176 lbs.    Weight Based Heparin Protocol: Give the patient a bolus of heparin 80 units/kg (Use Stock: Heparin sodium 10,000 Units/mL for IV use). Start Heparin infusion to run at 18 units/kg/hr (Use standard concentration: 25,000 units heparin in 250 mL D5W). Check aPTT in 6 hours after infusion started. Adjust heparin therapy based on the table below. Heparin Protocol aPTT results Bolus or Hold Change Infusion Rate Order aPTT lab again PTT < 35 Bolus 80 units/kg Increase by 4 units/kg/hr  6 hours after bolus PTT 36-45 Bolus 40 units/kg Increase by 3 units/kg/hr  6 hours after bolus PTT 46-56 None Increase by 2 units/kg/hr 6 hours after an increase PTT 57-75 None No change In the morning and daily PTT 76-90 None Decrease by 2 units/kg/hr  6 hours after a decrease PTT 90-120 Hold infusion 1 hr Decrease by 3 units/kg/hr  6 hours after a decrease PTT > 120 Hold infusion 2 hr Decrease by 4 units/kg/hr  6 hours after a decrease   What is the initial heparin bolus (Use 1 above)? Record your answer as a whole number. _______units  

The physician orders the patient to be started on Heparin infusion for DVT using the Heparin Protocol below. The patient is 5’10 tall and weighs 176 lbs.    Weight Based Heparin Protocol: Give the patient a bolus of heparin 80 units/kg (Use Stock: Heparin sodium 10,000 Units/mL for IV use). Start Heparin infusion to run at 18 units/kg/hr (Use standard concentration: 25,000 units heparin in 250 mL D5W). Check aPTT in 6 hours after infusion started. Adjust heparin therapy based on the table below. Heparin Protocol aPTT results Bolus or Hold Change Infusion Rate Order aPTT lab again PTT < 35 Bolus 80 units/kg Increase by 4 units/kg/hr  6 hours after bolus PTT 36-45 Bolus 40 units/kg Increase by 3 units/kg/hr  6 hours after bolus PTT 46-56 None Increase by 2 units/kg/hr 6 hours after an increase PTT 57-75 None No change In the morning and daily PTT 76-90 None Decrease by 2 units/kg/hr  6 hours after a decrease PTT 90-120 Hold infusion 1 hr Decrease by 3 units/kg/hr  6 hours after a decrease PTT > 120 Hold infusion 2 hr Decrease by 4 units/kg/hr  6 hours after a decrease At what rate will you set the infusion pump? Record your answer to the nearest whole number. _____ ml/hr  

The physician orders the patient to be started on Heparin infusion for DVT using the Heparin Protocol below. The patient is 5’10 tall and weighs 176 lbs.    Weight Based Heparin Protocol: Give the patient a bolus of heparin 80 units/kg (Use Stock: Heparin sodium 10,000 Units/mL for IV use). Start Heparin infusion to run at 18 units/kg/hr (Use standard concentration: 25,000 units heparin in 250 mL D5W). Check aPTT in 6 hours after infusion started. Adjust heparin therapy based on the table below. Heparin Protocol aPTT results Bolus or Hold Change Infusion Rate Order aPTT lab again PTT < 35 Bolus 80 units/kg Increase by 4 units/kg/hr  6 hours after bolus PTT 36-45 Bolus 40 units/kg Increase by 3 units/kg/hr  6 hours after bolus PTT 46-56 None Increase by 2 units/kg/hr 6 hours after an increase PTT 57-75 None No change In the morning and daily PTT 76-90 None Decrease by 2 units/kg/hr  6 hours after a decrease PTT 90-120 Hold infusion 1 hr Decrease by 3 units/kg/hr  6 hours after a decrease PTT > 120 Hold infusion 2 hr Decrease by 4 units/kg/hr  6 hours after a decrease   How many units is the initial heparin infusion dosage (Use 2 above)? Record your answer as a whole number. __________ units/hr

What congenital anomaly of the pancreas causes a functional obstruction leading to pancreatitis?

A patient presents with a history of chronic alcohol abuse and hyperparathyroidism. The sonogram demonstrates a small pancreas with a complex cystic mass demonstrated along the border of the pancreatic tail. What is the most likely diagnosis?

Which of the following statements is false with respect to transjugular intrahepatic portosystemic shunt (TIPS) procedures?

Which patient population is most prone to developing hepatic candidiasis?

Which of the following PowerPoint features could you insert to allow easier movement between different, specific sections of a presentation?

Please access your textbook either through McGraw Hill directly or through Blackboard. You will be able to access your online textbook during the exam so the goal here is to ensure that this functionality is good to go. Does it open for you? Are you able to navigate through the textbook while you are taking the exam? If so and all is well, mark true. If it does not, please keep in mind what the message says when you attempt to access it and share that with me in next essay question.