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Standard Weight Based Heparin protocol 1 .pdf - Standard...

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Standard Weight BasedHeparin Protocol (Sample)For all patients on heparin drips:1.Weight in kilograms. Required for order to be processed:_____kg2.Heparin 25,000 U in 250 mL of½NS. Boluses to given as 1000 U/mL.3.APTT q 6 hours or 6 hours after rate change; every day after 2 consecutivetherapeutic APTTs.4.CBC initially and repeat every ____ day(s).5.Obtain APTT and PT/INR on day one prior to initiation of therapy.6.Guaiac stool initially then every ____ day(s) until heparin discontinued.Notify physician if positive.7.Neuro checks every ____ hours while on heparin. Notify physician of anychanges.8.Notify physician of any bleeding problems.9.Bolus with 80 U/kg. Start drip at 18 U/kg/h.10.If APTT is <35 secs:Rebolus with 80 U/kg and increase rate by 4 U/kg/h11.If APTT is 36-44 secs:Rebolus with 40 U/kg and increase rate by 2 U/kg/h12.If APTT is 45-75 secs:Continue current rate13.If APTT is 76-90 secs:Decrease rate by 2 U/kg/h14.If APTT is >90 secs:Hold heparin for 1 hour and decrease rate by 3 U/kg/h

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Kilogram

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