Heparin drip

  1. Hi, I just got home after what can only be described as the most draining shift I've ever had. I work on a telemetry cardiac PCU. Yesterday I had 4 patients that were all very busy. One patient I had was on a heparin drip. A baseline PTT was drawn at 6:30am and I started his drip at 8am. By 1500 his follow up PTT was drawn. However, because of my hectic day, I didn't get a chance to check the result until 1900 when I was giving report. It came back sub-therapeutic at 54.6 so he needed a bolus and rate change. The night RN signed it with me but now I'm wondering if I changed it too late and will possibly be in trouble for that 😔 Any insight is welcomed..
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  2. 1 Comments

  3. by   YumCookies
    Nah I wouldn't worry about it. Luckily the PTT came back slightly on the low side - it would be more worrisome if it came back critically high and wasn't noticed until four hours later.

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