[Nursekat64]

Questions???
I have seen these things done many different ways by many different nurses and cannot find a definative protocol.......
# 1 ) When giving a Heparin bolus before starting a Heparin drip what concentration do you use?
# 2) Do you low port Heparin as a secondary?
#3) Do you low port Diprovan? or hang it as a primary ?
#4) What meds does your facility low port?

Thanks .....

[deeDawntee]

Can you explain what low port means? You mean like a piggy back?

[mrsportsmedicine]

Originally Posted by Nursekat64

Questions???
I have seen these things done many different ways by many different nurses and cannot find a definative protocol.......
# 1 ) When giving a Heparin bolus before starting a Heparin drip what concentration do you use?
# 2) Do you low port Heparin as a secondary?
#3) Do you low port Diprovan? or hang it as a primary ?
#4) What meds does your facility low port?

Thanks .....

When you say 'low-port' I'm assuming you mean Y-porting two seperate IV setups into one IV port?
1.Heparin boluses I've done both ways.. I've used the actual IV bag and just secondary'd the bolus (I think the concentration would be 100u/ml), or I've used a seperate vial of the 5,000u/ml. (but now it's all different after the recal)
2. No. Heparin has a dedicated line. I do that for safety reasons., unless it's a low infusion rate through a PICC then I will Y-port the Heparin with a KVO NS rider at 20cc/hr to ensure proper patency of the PICC.
3. Propofol can be both. Y-ported with say.. Fentanyl or used as a dedicated line.
4. I guess all your questions are based on a pt to pt basis. It all depends on the availability of IV access and compatiblity of the IV solutions you have to infuse.

I can't say I've taken the time to look up any standardized P&P?

Hope this helps.

[ghillbert]

ALWAYS follow your institution's policy and procedure, not what you get told by us.

- Propofol generally needs to run alone and line needs to be changed regularly according to manufacturer's instructions as the high lipid content can breed bacteria. I would not want other lines running with it if I had the choice.

- Heparin is a high-risk medication. Give a bolus of whatever is ordered by the physician. There are generally standard concentrations. As mentioned, you'd generally run it alone so you do not give accidental boluses of heparin.

I do not know what "low port" means.

[panzer]

"low port" maybe means keep vein open or kvo! just guessing

[anurseuk]

I would say go directly to your units protocol as in the critical cares I've worked in they have been different

[RNFELICITY]

Originally Posted by anurseuk

I would say go directly to your units protocol as in the critical cares I've worked in they have been different

This is soooooooo true.
I just transferred from one hospital to another in the same company and the drips are different as to how much , how fast and such.

Always refer back to the policy/formulary at your hospital and I always double check my drug reference book for safety

[cardiacRN2006]

I run propofol with whatever it's compatible with. I don't need it to run on it's own dedicated line. It does have to be changed Q12hrs though. Just had a pt tonight with propofol running at around 4 cc/hr. I don't want that being the only line in the TLC. So something's running with it....either fentanyl, versed, MIV or a TKO of NS. Somethings gotta keep that line open.

If I"m running 100mcg of Propofol on a 100kg pt, that's a whole 'nother story...

For heparin boluses we use the 5000 unit/mL vial. Our boluses are 3000 units.

[PEGGY821]

I never piggyback heparin drip,for safety purposes.the only medicine that i use piggyback is antibiotics.and make sure that 2 meds are compatible before you interlink each other.