Six hours later the PTT is 43 seconds.
Using the Heparin protocol below, calculate what two actions the
nurse should do. I would first administer this amount of
heparin_______ and then I would adjust the heparin infusion to
________ mL per hour
Adjust heparin
infusion based on sliding scale below:
PTT
Bolus
Dose
Stop Infusion
For minutes
Rate/Change
Repeat PTT
< 35 sec
80 units/kg
0
+ 4 units/kg/hr
6 hrs
36-45 sec
40 units/kg
0
+ 2 units/kg/hr
6 hrs
46-70
0
0
0 (no change)
next AM
71-90
0
0
- 2 units/kg/hr
6 hrs
> 90 sec
0
60
- 4 units/kg/hr
6 hrs
Six hours later the PTT is 43 seconds. Using the Heparin protocol below, calculate what two actions the nurse should do.
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