Hi all, I have a heparin math question. I have been practicing my drug calc because I go back to school in a few weeks and we have an exam on the first day. The infamous 100% or fail math exam. The instructors sent a study guide which included heparin math. I have a question on how my instructor got a certain answer doing a step they did.
This is the question:
6. A patient is on a Heparin drip of 25,000 units of Heparin in 250mL of D5W. The Heparin drip has been set at 14 mL/hr. The PTT comes back at 75. The order reads: I the PTT is between 71 and 90, decrease the drip by 3 units/Kg/hour. The patient weights 220 pounds. Based on this order, you reset the pump at __________ mL/hour.
This is my instructors work:
6. Amount you have: 25,000 units/250ml = 1000 units per ml
Desired amount: decrease current rate by 3units/100kg/hour = 3000 units
Pt weighs 220lbs/2.2 = 100 kg
Pump currently running at 14ml/hr or 14000 units per hour
14000 unit - 3000 units = 11000 units or 11ml/hr
The bolded part is the only thing that doesn't make sense to me. Mathematically it = 100. I worked it out using 100 and i understand the process, I just don't understand how they can get 1000. Is there some secret to the heparin math? I didn't see anything online when i googled heparin math...
Thank you in advanced for your responses.
Featured Replies
Join the conversation
You can post now and register later.
If you have an account, sign in now to post with your account.
Hi all, I have a heparin math question. I have been practicing my drug calc because I go back to school in a few weeks and we have an exam on the first day. The infamous 100% or fail math exam. The instructors sent a study guide which included heparin math. I have a question on how my instructor got a certain answer doing a step they did.
This is the question:
6. A patient is on a Heparin drip of 25,000 units of Heparin in 250mL of D5W. The Heparin drip has been set at 14 mL/hr. The PTT comes back at 75. The order reads: I the PTT is between 71 and 90, decrease the drip by 3 units/Kg/hour. The patient weights 220 pounds. Based on this order, you reset the pump at __________ mL/hour.
This is my instructors work:
6. Amount you have: 25,000 units/250ml = 1000 units per ml
Desired amount: decrease current rate by 3units/100kg/hour = 3000 units
Pt weighs 220lbs/2.2 = 100 kg
Pump currently running at 14ml/hr or 14000 units per hour
14000 unit - 3000 units = 11000 units or 11ml/hr
The bolded part is the only thing that doesn't make sense to me. Mathematically it = 100. I worked it out using 100 and i understand the process, I just don't understand how they can get 1000. Is there some secret to the heparin math? I didn't see anything online when i googled heparin math...
Thank you in advanced for your responses.