A patient weighing 63.5 kg was given an initial bolus dose of heparin and began a new heparin drip for the first 6 hours. Using the figure below, what was the total amount of heparin administered in...


A patient weighing 63.5 kg was given an initial bolus dose of heparin and began a new heparin drip for the first 6 hours. Using the<br>figure below, what was the total amount of heparin administered in this period?<br>Standard Heparin IV Premixed Solution is 25,000 units in 250 mL (100 units per mL)<br>Initial laboratory tests (draw before starting heparin): aPTT, PT, CBC with platelet count<br>Day 2 and every 3 days thereafter: CBC with platelet count<br>APTT six (6) hours after heparin infusion is started<br>Bolus Dose<br>None<br>80 units/kg (limit 8000 units)<br>ADULT WEIGHT-BASED HEPARIN PROTOCOL<br>Other (specify:<br>units)<br>Continuous infusion rate APTT six (6) hours after every change in heparin administration rate or bolus dose of heparin<br>Once a therapeutic aPTT level is reached, do an APTT six (6) hours later<br>18 units/kg/h After two (2) consecutive therapeutic APTT levels are obtained, do an aPTT daily at 0600<br>Discontinue all IM medications and other IM injections<br>units/h)<br>Other (specify:<br>APTT Value<br>Heparin Dose Adjustments<br><35 seconds<br>Bolus with 80 units/kg and increase infusion rate by 4 units/kg/h<br>35 to 45 seconds<br>Bolus with 80 units/kg and increase infusion rate by 2 units/kg/h<br>46 to 70 seconds<br>No change in infusion rate<br>71 to 90 seconds<br>Decrease infusion rate by 2 units/kg/h<br>>90 seconds<br>Hold infusion for 1 hour; when restarted, decrease infusion rate<br>by 3 units/kg/h<br>

Extracted text: A patient weighing 63.5 kg was given an initial bolus dose of heparin and began a new heparin drip for the first 6 hours. Using the figure below, what was the total amount of heparin administered in this period? Standard Heparin IV Premixed Solution is 25,000 units in 250 mL (100 units per mL) Initial laboratory tests (draw before starting heparin): aPTT, PT, CBC with platelet count Day 2 and every 3 days thereafter: CBC with platelet count APTT six (6) hours after heparin infusion is started Bolus Dose None 80 units/kg (limit 8000 units) ADULT WEIGHT-BASED HEPARIN PROTOCOL Other (specify: units) Continuous infusion rate APTT six (6) hours after every change in heparin administration rate or bolus dose of heparin Once a therapeutic aPTT level is reached, do an APTT six (6) hours later 18 units/kg/h After two (2) consecutive therapeutic APTT levels are obtained, do an aPTT daily at 0600 Discontinue all IM medications and other IM injections units/h) Other (specify: APTT Value Heparin Dose Adjustments <35 seconds="" bolus="" with="" 80="" units/kg="" and="" increase="" infusion="" rate="" by="" 4="" units/kg/h="" 35="" to="" 45="" seconds="" bolus="" with="" 80="" units/kg="" and="" increase="" infusion="" rate="" by="" 2="" units/kg/h="" 46="" to="" 70="" seconds="" no="" change="" in="" infusion="" rate="" 71="" to="" 90="" seconds="" decrease="" infusion="" rate="" by="" 2="" units/kg/h="">90 seconds Hold infusion for 1 hour; when restarted, decrease infusion rate by 3 units/kg/h

Jun 11, 2022
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