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port

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  1. port replied to port's topic in General Nursing
    Lol, guess i started confusing myself from the time i tittled it insulin calc helo :), oh well thank you
  2. Hi everyone, it's nice to be here. Please can someone help me with this drug calculation, will like to know what fomula to get the answer too, thanks in advance. A patient who weighs 125 lbs. And has IV heparin ordered per the following weight based heparin protocol: Heparin IV infusion: Heparin 25,000 U in 250 ml of ½ NS IV Boluses: Use heparin 1000 u / ml Bolus with heparin 80 u/kg. Then initiate heparin drip at 18 u/kg/h. Obtain APTT every 6 hours and adjust dosage and rate as follows: If APTT is If APTT is 36-44 seconds: Rebolus with 40 u/kg and increase rate by 2 u/kg/h. If APTT is 45-75 seconds: Continue current rate. If APTT is 76-90 seconds: Decrease rate by 2 u/kg/hr. If APTT is > 90 seconds: Hold heparin for one hour and then decrease rate by 3 u/kg/h. Part I: Convert the patient's weight to kg: ____ kg Calculate the initial heparin bolus dosage: _____ u Calculate the bolus dose: ____ ml Calculate the initial heparin infusion rate: ____ u/h or ____ ml/h Part II: At 0930, the patient's APTT is 77 seconds. According to the protocol, what will your action be?
  3. port replied to port's topic in General Nursing
    Thank you, but what formula did you use? the wt sure is correct, but lol am so confused,on decreasing the rate part but geeeeeeezzzzzzz thank you
  4. hi everyone, it's nice to be here. please can someone help me with this drug calculation, will like to know what fomular to get the answer too, thanks in advance. a patient who weighs 125 lbs. and has iv heparin ordered per the following weight based heparin protocol: heparin iv infusion: heparin 25,000 u in 250 ml of ½ ns iv boluses: use heparin 1000 u / ml bolus with heparin 80 u/kg. then initiate heparin drip at 18 u/kg/h. obtain aptt every 6 hours and adjust dosage and rate as follows: if aptt is if aptt is 36-44 seconds: rebolus with 40 u/kg and increase rate by 2 u/kg/h. if aptt is 45-75 seconds: continue current rate. if aptt is 76-90 seconds: decrease rate by 2 u/kg/hr. if aptt is > 90 seconds: hold heparin for one hour and then decrease rate by 3 u/kg/h. part i: convert the patient's weight to kg: ____ kg calculate the initial heparin bolus dosage: _____ u calculate the bolus dose: ____ ml calculate the initial heparin infusion rate: ____ u/h or ____ ml/h part ii: at 0930, the patient's aptt is 77 seconds. according to the protocol, what will your action be?

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