Prescription: Start Heparin Weight based protocol as below Loading Dose: Heparin 60units/kg IVP x1 (Max bolus amount 500

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Prescription Start Heparin Weight Based Protocol As Below Loading Dose Heparin 60units Kg Ivp X1 Max Bolus Amount 500 1 (78.12 KiB) Viewed 11 times

Prescription: Start Heparin Weight based protocol as below Loading Dose: Heparin 60units/kg IVP x1 (Max bolus amount 5000 units) immediately after loading dose, start infusion at 15units/kg/hr; check heparin anti-xa in 6 hr If Heparin anti-xa is: (<0.2 Give additional heparin bolus of 60units/kg IVP x1, increase drip by 4 units/kg/hr, and recheck heparin anti-xa in 6 hours 10.2-0.29 Increase drip by 2 units/kg/hr and recheck heparin anti-xa in 6 hours 10.3-0.7 No change: recheck heparin anti-xa in 6 hours; if two therapeutic levels are obtained, recheck in 24 hours 10.7-0.89 Decrease drip by 2 units/kg/hr and Techeck heparin anti-xa in 6 hours >0.89 Hold drip for 1 hour, decrease the drip by 2 units/kg/hr when restarting and recheck heparin anti-xa in 6 hours Patient Weight: 64 kg Supply: Bolus-Heparin 7500 units/mL Drip-Heparin 25,000 units/250 mL How many mL should the nurse draw up for the initial bolus? How many units/hr will be administered via drip? At what rate should the nurse set the IV pump when initially starting the drip?