Is it safe to administer 5,000 units of heparin subcutaneous after hemodialysis treatment and why?
Apr 16, '13
I believe it depends on the access used for dialysis. If its a graph or shunt then I wouldn't give it because of the increase chance of bleeding. If its central line then maybe. But I could be wrong...
Apr 17, '13
Its fine to give heparin subQ to hemodialysis pts after dialysis. The half life of IV heparin is very short which is why IV heparin during dialysis is stopped for the last hour if the pt has a fistula or graft.
Here is a study done on hemodialysis pts, though older study, still good info and good source too:
Heparin elimination and hemostasis in hemodialy... [Clin Nephrol. 1984] - PubMed - NCBI
Want to add too that if hemodialysis access, fistula or graft DOES begin to rebleed once the pt has left the dialysis unit, it is imperative that you quickly remove the dressing and apply POINT PRESSURE ONLY to the bleeding needle stick. It is not necessary to circumferentially wrap a dialysis access EVER. This is a pts lifeline, so point pressure only.