Pediatrics and Heparin IV Calculations -- Please Help! - page 2

by Jeana18 2,230 Views | 18 Comments

Hi Everyone: I'm currently at the end of my most difficult course in Nursing, all Med-Surg. I had a rotation on the Pediatrics floor and had a 2 week old neonate as my patient. I am required to do calculations for the Heparin... Read More


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    Threads merged.
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    Thank 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.
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    It could also be the reason stated by janfrn, which I hadn't ever seen before, though I'm still just a student myself.
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    Quote from Jeana18
    Sorry! The baby weighs 3.605 kg.
    So do you want to know how fast to run the drip or how much is going in at a specified rate?
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    moved to nursing student assistance for best results.... janfrn is right something isn't right.
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    I 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.
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    Probably 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.
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    The 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.
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    Perhaps 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.
    Esme12 likes this.


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