Dvt/pe protocol Obtain Baseline labs
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    Durham VA Medical Center
Weight-Based Heparin Nomogram: DVT/PE Protocol Obtain Baseline labs: aPTT, PT/INR, Hgb/Hct, Platelets, Chem-7, Hepatic enzymes Monitor Platelet count daily Document patient’s weight in kg: _______
(MAX DOSE 10,000 units) * Round dose to nearest 100 units * Heparin supplied as 25,000 units/250 mL D5W Initial Infusion Rate 18 units/kg/hour (MAX INITIAL RATE 2,000 units/hr) *Consider reduced dosing of 50 units/kg bolus and 15 units/kg/hour initial rate if elderly, edematous, or morbidly obese.* Check initial aPTT 6 hours after starting infusion and after any rate adjustments. After two consecutive therapeutic aPTTs, may change aPTT checks to qAM. Adjust heparin rate using the following chart: (revised 6/2009) Weight-Based Heparin Rate Adjustments: Target aPTT 68-95 sec
DVT/PE protocol:Physician enters initial Heparin bolus & infusion orders. Per policy, ICU/ED RN then edits CRPS for rate changes & enters repeat PTT. Poster developed by CCU nursing team spearheaded by Amber Greene, RN. Durham VA Medical Center Weight-Based Heparin Nomogram: DVT/PE Protocol Obtain Baseline labs: aPTT, PT/INR, Hgb/Hct, Platelets, Chem-7, Hepatic enzymes Monitor Platelet count daily Document patient’s weight in kg: _______
(MAX DOSE 10,000 units) * Round dose to nearest 100 units * Heparin supplied as 25,000 units/250 mL D5W Initial Infusion Rate 18 units/kg/hour (MAX INITIAL RATE 2,000 units/hr) *Consider reduced dosing of 50 units/kg bolus and 15 units/kg/hour initial rate if elderly, edematous, or morbidly obese.* Check initial aPTT 6 hours after starting infusion and after any rate adjustments. After two consecutive therapeutic aPTTs, may change aPTT checks to qAM. Adjust heparin rate using the following chart: (revised 6/2009) Weight-Based Heparin Rate Adjustments: Target aPTT 68-95 sec
DVT/PE protocol:Physician enters initial Heparin bolus & infusion orders. Per policy, ICU/ED RN then edits CRPS for rate changes & enters repeat PTT. Poster developed by CCU nursing team spearheaded by Amber Greene, RN. Durham VA Medical Center Weight-Based Heparin Nomogram: DVT/PE Protocol Obtain Baseline labs: aPTT, PT/INR, Hgb/Hct, Platelets, Chem-7, Hepatic enzymes Monitor Platelet count daily Document patient’s weight in kg: _______
(MAX DOSE 10,000 units) * Round dose to nearest 100 units * Heparin supplied as 25,000 units/250 mL D5W Initial Infusion Rate 18 units/kg/hour (MAX INITIAL RATE 2,000 units/hr) *Consider reduced dosing of 50 units/kg bolus and 15 units/kg/hour initial rate if elderly, edematous, or morbidly obese.* Check initial aPTT 6 hours after starting infusion and after any rate adjustments. After two consecutive therapeutic aPTTs, may change aPTT checks to qAM. Adjust heparin rate using the following chart: (revised 6/2009) Weight-Based Heparin Rate Adjustments: Target aPTT 68-95 sec
DVT/PE protocol:Physician enters initial Heparin bolus & infusion orders. Per policy, ICU/ED RN then edits CRPS for rate changes & enters repeat PTT. Poster developed by CCU nursing team spearheaded by Amber Greene, RN. Durham VA Medical Center Weight-Based Heparin Nomogram: DVT/PE Protocol Obtain Baseline labs: aPTT, PT/INR, Hgb/Hct, Platelets, Chem-7, Hepatic enzymes Monitor Platelet count daily Document patient’s weight in kg: _______
(MAX DOSE 10,000 units) * Round dose to nearest 100 units * Heparin supplied as 25,000 units/250 mL D5W Initial Infusion Rate 18 units/kg/hour (MAX INITIAL RATE 2,000 units/hr) *Consider reduced dosing of 50 units/kg bolus and 15 units/kg/hour initial rate if elderly, edematous, or morbidly obese.* Check initial aPTT 6 hours after starting infusion and after any rate adjustments. After two consecutive therapeutic aPTTs, may change aPTT checks to qAM. Adjust heparin rate using the following chart: (revised 6/2009) Weight-Based Heparin Rate Adjustments: Target aPTT 68-95 sec
DVT/PE protocol:Physician enters initial Heparin bolus & infusion orders. Per policy, ICU/ED RN then edits CRPS for rate changes & enters repeat PTT. Poster developed by CCU nursing team spearheaded by Amber Greene, RN. Yüklə 44,24 Kb. Dostları ilə paylaş:
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