Help, I have a test tommorow, question

[BeOne77]

Does anyone know how to do a Heparin Protocol? What do I start out with and how do I plug the PTT numbers in? What is the significance of 25000u/250ml and 18u/kg/hour. If anyone knows what I am talking about please reply.

[realnursealso/LPN, LPN]

25000u/250ml and 18u/kg/hour. I think the first is telling you to put 25000units in 250 mililiters of IV fluid, then run it so it delivers 18units/per kilogram/per hour. But don't take my word for it, I'm just guessing..

[GleeGum, BSN, RN]

Hi!

We use two different Heparin Protocols in the ER. One is for Cardiac/Neuro reasons (MI or Stroke) and we give a bolus (say 60units per Kg but a max of 5,000units) and then a maintenance (say 12units/Kg max 1000 units per hour). you need to know the PTT and the platelet count prior to giving it. then in 6 hours you check the PT/PTT/INR and adjust it accordingly.

Another Heparin protocol is for DVT or PE. there you give slightly more. but again you check in 6 hours. each hospital should have a protocol.

yes, usually its 25,000 units in 250cc for the drip and that makes it easier to know how many cc's per hour.

does that help? hope so! remember to always go by hospital protocol!!!

[JulieCVICURN, BSN, RN]

Our heparin protocol is something like this: you give a bolus, either 5000 or 8000 units. Then, you start heparin based on weight. Do a PTT every 6 hours until range is therapeutic, (in our unit, 50-70)

[GleeGum, BSN, RN]

good luck on the test!

[misschiatia]

I think that test question was on my boards. And i think that might be precisely the reason i didn't go into trauma, ER, or ICU.....