Also if they are would you still start a new IV if you have orders to run both of them at the same time..........or would you piggy back the heparin to the magnesium..........
Oders where for 25,000units heparin IV to run at 9cc/hr
Magnesium in D5% (gosh forgot how many ml of D5% 100ml I believe.....can not remember now.............how would you run this
I guess they are compatible cause the preceptor ran it together.........but another nurse told me they where not compatible................the patient complained of burning so the preceptor slowed the rate it was 100cc/hr for the mag as the primary and 9cc/hr for the secondary to run concurrently would you have done it this way
With pt complaint of burning and site inspected it was not infiltrated or swollen but felt burning sensation so it was slowed down to 50cc/hr for the Magnesium and next shift notified to watch site for any changes since this was run at the end of the shift.............pt given mag cause he had several episodes of nonsustained VT..............mag level low..............
I guess I left that shift wondering if the burning was from running heparin and mag together or from the original rate of 100cc/hr for the mag ........I am a newbie so needed to know from experiences nurses what you would have done with those orders
To start another peripheral line ............the patient would need one soon anyway cause it was inserted 3/22 and it was 3/25............or keep the heparin in the 3/22 line and start a new one for the mag ...............just curious as to what would have been the best options .........did my preceptor pick the best option to run them both concurrently............pigging backing the heparin
Specializes in Critical Care, Cardiothoracics, VADs.
I would not run anything with a heparin infusion because it is too easy to screw up the patient's anticoagulation level!!! Heparin must run at a very specific rate to get a certain PTT, so adding it to a line that has something running at 100cc/hr, or something that is starting and stopping may mean that you are accelerating/decelerating the rate of infusion of heparin, and making the patient's PTT unstable.
augigi, CNS
1,366 Posts
I would not run anything with a heparin infusion because it is too easy to screw up the patient's anticoagulation level!!! Heparin must run at a very specific rate to get a certain PTT, so adding it to a line that has something running at 100cc/hr, or something that is starting and stopping may mean that you are accelerating/decelerating the rate of infusion of heparin, and making the patient's PTT unstable.