A 56 year old male patient weighing 160 lbs is on a heparin lowdose protocol (from the protocol in the ppt slides). The patientreceived no bolus and initiated a rate of 15 units/kg/hour 6 hoursago. Now, a PTT is performed on the patient and the vlue is 40seconds. Based on the protocol from the ppt slides calculate thenew infusion rate, in MILLITERS PER HOUR, using heparin injection,25,000 units/250 mL.
answer___?____mL/hour (ROUND TO TENTH DECIMAL)
Transcribed Image Text from this Question
For a PTT Value of 50 to 70 seconds (LOW-DOSE HEPARIN PROTOCOL) No Bolus Dose Start heparin drip at a rate of Bolus with 70 units of heparin per kg (limit 10.000 units) 15 units per kg per hr Bolus with units of heparin units per kg per hr PTT Value Heparin Dose Adjustments <35 seconds Bolus with 70 units per kg and increase infusion rate by 4 units per kg per hour 35 to 49 seconds Bolus with 40 units per kg and increase infusion rate by 2 units per kg per hour 50 to 70 seconds No change in heparin infusion rate 71 to 99 seconds Decrease infusion rate by 1 unit per kg per hour 100 to 120 Decrease infusion rate by 2 units per kg per hour seconds >120 seconds Hold heparin infusion for 1 hour; when restarted, decrease heparin infusion rate by 3 units per kg per hour For a PTT Value of 70 to 99 seconds (HIGH-DOSE HEPARIN PROTOCOL) No Bolus Dose Start heparin drip at a rate of Bolus with 70 units of heparin per kg (limit 10.000 units) 18 units per kg per hr Bolus with units of heparin units per kg per hr PTT Value Heparin Dose Adjustments <35 seconds Bolus with 70 units per kg and increase infusion rate by 4 units per kg per hour 35 to 49 seconds Bolus with 40 units per kg and increase infusion rate by 3 units per kg per hour 50 to 70 seconds Increase infusion rate by 2 units per kg per hour 71 to 99 seconds No change in heparin infusion rate 100 to 120 Decrease infusion rate by 1 unit per kg per hour or seconds
(Visited 1 times, 1 visits today)
