Intravenous High Intensity Heparin Nomogram Venous ...
John Dempsey Hospital Department of Pharmacy/Nursing
(Patient Identification)
Intravenous High Intensity Heparin Nomogram ? Venous Thromboembolism (DVT / PE)
PT, PTT, CBC & other baseline labs per MD/LIP order prior to initiation of therapy. Baseline labs such as PTT should not be used for infusion rate adjustments per nomogram.
PTT 6 hours after Heparin is instituted, then per nomogram until PTT is in target range PTT daily once PTT is in target range (for duration of Heparin infusion) CBC every other day while on Heparin Patient body weight: per MD/LIP: _______kg (use initial body weight throughout Heparin therapy)
RN Signature:
Date:
Time:
INITIAL BOLUS: Per MD/LIP order. Heparin bolus IV Push x1, followed by initial infusion.
Usual Bolus Dose
Maximum Initial Bolus
80 units/kg rounded 10,000 units to the nearest 50 units
INITIAL INFUSION: Per MD/LIP order. Heparin 25,000 units/500 ml D5W (= 50 units/ml)
Usual Starting Dose Maximum Initial Rate
18 units/kg/hr
1,800 units/hr
(36mL/hr)
NOMOGRAM RATE ADJUSTMENT: HIGH INTENSITY HEPARIN with Goal PTT: 60-90 secs
PRN boluses per nomogram below require an MD/LIP order.
PTT(in secs)*
*Round PTT to the nearest whole number (If < 0.5 round down, if 0.5 round up)
Bolus Stop Infusion
Rate of Infusion
Check PTT
< 50 secs 5000 units
0 min
Increase by 4 units/kg/hr
6 hrs
50 ? 59
0
secs
60 ? 90 secs
0
(goal)
91 ? 105
0
secs
106 ? 120
0
secs
121 ? 200
0
secs
> 200 secs
0
0 min 0 min 0 min 30 min 60 min 60 min
Increase by 2 units/kg/hr
No change Decrease by 1 unit/kg/hr Decrease by 2 units/kg/hr
Decrease by 3 units/kg/hr
Decrease by 5 units/kg/hr, then call MD/LIP
6 hrs
Next AM 6 hrs
6 hrs
after restarted
6 hrs
after restarted
4 hrs
after restarted
RN to document bolus doses / rate changes in MAK/MAR per Medications:Double Check policy (Nursing Practice Manual).
Formula to calculate Heparin Infusion Rate: Total Units (in IV bag) = Units/hour (per patient's weight above)
Total Volume (ml)
X (ml/hour)
*HCH2282*
HCH-2282 Eff. 11/10 Rev. 1/11, 4/11, 7/11, 5/12, 4/15, 12/15, 2/16 Page 1 of 1 C
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- icd 10 intravenous antibiotics
- vancomycin nomogram uptodate
- aap nomogram for hyperbilirubinemia
- bilirubin nomogram curve
- bhutani nomogram bilirubin
- bhutani nomogram aap
- transcutaneous bilirubin nomogram aap
- intravenous chemotherapy side effects
- icd 10 intravenous therapy
- counting drops in intravenous infusion
- intravenous nurses society ins
- intravenous nursing society