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Topics About 'Heparin'.

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Found 6 results

  1. eksolothreuthskagkouriwn

    Confused about IV Infusion that should not be stopped

    Hello to you all, first of all excuse any mistake cause I am not a native speaker of the English language. I study paramedics and currently I am on my first year. So, we had a conversation at class about IV infusions and our teacher told us to NEVER stop an IV infusion that contains heparin, inotrope drugs, insulin or TPN. When I asked why he just didn't answer cause this specific teacher seems not to care at all about explaining things to his students. So I am now curious ... Why should these drugs (mentioned above included TPN) NEVER be stopped? For example, if you want to administer a bolus medication. And if you are aware, I would really appreciate if you mentioned more drugs that should never be stopped while on IV infusion. I know 5 only. Thanks!
  2. Mr. Murse

    Heparin drips and lab draws

    I've had the conversation with 2 or 3 different pharmacists lately who have all agreed that it is unnecessary to pause a heparin drip for 10 or 15 minutes before drawing a ptt, yet I still see nurses doing it. Does anyone still do this and if so, why? A 15 minute stop in the heparin is also enough to potentially alter the ptt, so you'd be adjusting the drip to an inaccurate result. Even if you're drawing from a PICC/central line where the heparin is running, pausing the drip and using a thorough flush is still sufficient. I'm just wondering how this little habit got so widespread without evidence prompting it, or is it just around the facility I'm at?
  3. Dear Nurse Beth, Hi. Fairly new LPN working on night shift at assisted living facility after previously working as a school nurse. I have orders to give heparin 1 ml but it’s in an insulin syringe 100 units. 100 units is equal to 1 ml, yes? So I give 100 units? Please tell me I’m correct. Thank you!! Dear New LPN, Insulin syringes should only be used for insulin. A U-100 one mL insulin syringe is for use with U-100 concentration insulin, which is 100 units of insulin per 1 mL. It's possible you gave the right amount, but what's missing here is the dosage. The order should have been for a dose, not a volume. The order for heparin should read something like "Heparin 5,000 units subcutaneously every 12 hrs" not "Heparin 1 mL" There are numerous concentrations on the market. One mL of heparin may or may not be equal to 100 units of heparin. If you were using a heparin concentration of 100 units per mL, you gave 100 units (suitable for a flush). If you were drawing from a heparin concentration of 10 units per mL, you gave 10 units. If you were drawing from a heparin concentration of 1,000 units per mL, you gave 1,000 units. When drawing up heparin, use a tuberculin syringe. Better yet, your pharmacy should supply pre-filled syringes for you. If you are not sure of the calculation, double-check with a colleague, even if you have to call your supervisor who is off duty, or a Pharmacist. I understand staff is limited in many assisted living facilities, but someone should be available to you as a clinical resource. In many organizations, heparin is classified as a double-check medication.
  4. RDH-RN

    Heparin bolus administration

    When giving a Heparin bolus, and the vial is 10,000 units/10mL (1000units/mL concentration), and the bolus is to be for 4000units, would you not draw 4mL into a syringe and give it IVP? (This is the bolus that precedes an infusion with a bag that is of a 100unit/mL concentration.) My preceptor told me that I was supposed to use a tuberculin/Heparin syringe and draw up 4 "units" and inject it subQ for the bolus. ???
  5. Ashley_SF

    Heparin Practices

    I would like some input from my dialysis nurses, both acute and outpatient regarding the use of heparin where they work. I recently transitioned from outpatient, adult, dialysis to outpatient pediatric/inpatient pediatric/inpatient adult dialysis and am confused by heparin policies at my new place of employment. The adult acutes hospital (does not contract their dialysis out) I am working at does not use heparin period during dialysis to prevent clotting in the extra corporeal circuit. On the pediatric side, which is owned by the same hospital but at a different location, we do use heparin. The 40+ years nurse I worked with yesterday told me they don't find heparin or regular saline flushes necessary and it is a liability for the acute adult population we work with.. I've worked in outpatient dialysis for 5 years and have operated under the belief that heparin is needed for most patients during dialysis. I have many patients who develop clots in the arterial chambers/dialyzers if their heparin is missed.. I would appreciate any input, especially from the very experienced nurses. Thank you!
  6. nursebettee

    Maximum number of IV meds & lines

    What is the maximum number of medications ( and IV lines ) that can safely be infused to the patient and the priorities and protocols , relating to infusions. Patient will have a 3-4 port central line as a given. Patient needs TPN , Propofol, PRBC's, D5 1/2 NS , antibiotics, Dopamine , Amiodarone , Heparin, BiCarb, IV pushes , and blood will be drawn for labs thru the line. {{ Can a patient have more than one deeply placed IV access }} PS . What ports would be used ( distal vs proximal )