Pediatrics and Heparin IV Calculations -- Please Help! - Page 2Register Today!
- Mar 7 by janfrnThreads merged.
- Mar 7 by Jeana18Thank you. I definitely may have written down the wrong number. The 100 units/mL makes much more sense. I will talk to my clinical instructor and clarify with her. Thank you everyone for your wonderful help!! It's greatly appreciated; spent hours pondering what was wrong.
- Mar 7 by ChronoIt could also be the reason stated by janfrn, which I hadn't ever seen before, though I'm still just a student myself.
- Mar 8 by Jeana18I need to find the Safe Dose Range for Heparin in 0.225% NaCl. To check to see if the order from the MD is okay to use on the newborn (I.e. the drip rate, amount of units, so forth). Sorry this is so confusing my professor didnt really explain to me what was wrong she just said figure it out and recalculate.
- Mar 8 by Ashley, PICU RNProbably the most important piece of information that you need to know is WHY is your patient receiving heparin? Is it to maintain IV patency? Or is it due to a cardiac condition, hypercoagulability, etc.? Once you know the reason why the patient is receiving the heparin, it will be much easier to figure out if the correct concentration is indeed 1unit/mL or if you copied it incorrectly.
- Mar 8 by Jeana18The infant was receiving it for IV line maintenance. Which is why I'm confused as to how my numbers are incorrect as stated by my instructor.
- Mar 8 by Ashley, PICU RNPerhaps I'm not understanding the problem. You found a safe reference range of 28units/kg/hour. Your patient's dose is 2units/hour. How many units/kg/hour is that?. Is this a safe dose?
Maybe you could find an article about continuous low-dose heparin infusions to maintain IV patency in neonates and show your instructor.