Heparin and Nitro Compatability - page 2

I work in an ER that often transfers out cardiac patients to another local hospital (they have cath lab, we do not). I am repeatedly chastised for sending patients with heparin and nitro running... Read More

  1. Visit  nowplayingEDRN} profile page
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    Oh, I forgot to mention. Most of our physicians are trending toward using low molecular weight heparin (Lovenox) in strad of the traditional heparin infusion. Anone have any insite of this practice?
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  3. Visit  RNCENCCRNNREMTP} profile page
    0
    Originally posted by nimbex
    Okay, in our cardiac surgery, EVERYthing runs into the swan .

    In our CCU, there is a rule against running them together, unless access is a problem...

    here's the kicker though... so sorry, I can't find literature as to why, our pharmacy states it's the NTG that results in heprin degrading requiring higher doses and thus taking longer for a therapudic PTT....

    BUT.... as I said... can't find a lick of evidence to support it.

    Anyway, the hell with anyone who tries to be supperior, especially at your expense.
    All of the Medline searches I have done show an "in-body" incompatability (where heparin is less effective) not an "in-line" and only at very high doses of nitro (>300mcg/min). I cannot remember the last time I ran nitro ay greater than 150mcg/min and that was a long time ago.
  4. Visit  baseline} profile page
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    They are compatible. Do it, and put in your earplugs.
  5. Visit  PerkyCardiacRN} profile page
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    We run Heparing & NTG together all the time in the same line.

    As for Lovenox vs. Heparin gtt...we're probably about 50/50. All depends on the doc's preference.
  6. Visit  nimbex} profile page
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    RNCENCCRNNREMTP, thank you for the info. Sometimes I think that pharmacy is just being difficult. We don't run NTG greater then 200mcg/min... then add either natrector, nipride, dobutamine or amrinone, based on reasons.

    thanks again.
  7. Visit  New CCU RN} profile page
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    200mcg/min is our max as well
  8. Visit  healingtouchRN} profile page
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    The question about Heprarin/Nitro comp. is ongoing since I finished school in 1989, I have done both ER & CCU. This is what we do, if ya can get a 2nd site or 3rd site (as needed with t-PA) well great! Or just put it a Y site, if ya'll stock these little beauties. I have seen no change in PTT's or how the nitro works with it in the same line. I think their main concern is pushing the nitro when the dye or con. sedatives are injected in the CV lab for emergency procedure. Hope this helps.


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