02134_maintenance_heparing_drip_protocol_orders

02134_maintenance_heparing_drip_protocol_orders - SCANNED...

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Unformatted text preview: SCANNED TO PHARMACY STAT MEDICATION Date: _________ Time: ___________ Heparin Drip Protocol Orders 1. 2. 3. 4. Choose 1: DVT/PE Protocol GUSTO Protocol 2B3A INTEGRITI Protocol Yes No (See protocol below for recommended dose.) Bolus dose: Begin heparin infusion at ______ units/hour CBC (no diff) every other day while on heparin. (Note: If platelet count under 100,000, notify prescribing M.D. If platelet count under 75,000, draw heparin induced antiplatelet antibody.(HIAA)) 5. Check PTT 6 hours after starting infusion and 4 hours after every drip rate change and daily while on heparin. Stop infusion and call MD for PTT over 150 sec. Therapeutic (DVT/PE) Heparin Protocol 1. Bolus: (80 units/kg) _____________________ units 2. Infusion: Recommend 18units/kg/hour 3. Adjust Heparin drip as follows: Weight _____________________ kg PTT Bolus Stop Infusion Rate Change under 58 2000 Units NO Increase by 300 units/hour 58-67 1000 Units NO Increase by 200 units/hour 68-74 0 NO Increase by 100 units/hour 75-107 0 NO No change 108-115 0 NO Decrease by 100 units/hour 116-130 0 30 minutes Decrease by 200 units/hour over 130 0 60 minutes Decrease by 300 units/hour over 150 0 YES Call MD GUSTO (Thrombolytic) Heparin Protocol 1. Bolus: (60 units/kg) _____________________ units Weight _____________________ kg 2. Infusion: Recommend 16units/kg/hour 3. Adjust Heparin drip as follows: PTT Bolus Stop Infusion Rate Change under 58 2000 Units NO Increase by 300 units/hour 58-67 1000 Units NO Increase by 200 units/hour 68-75 0 NO Increase by 100 units/hour 76-91 0 NO No change 92-99 0 NO Decrease by 100 units/hour 100-115 0 30 minutes Decrease by 200 units/hour over 115 0 60 minutes Decrease by 300 units/hour over 150 0 YES Call MD 2B3A Heparin Protocol 1. Adjust Heparin drip as follows: PTT Bolus Stop Infusion Rate Change under 58 30 Units/Kg NO Increase by 200 units/hour 58-67 0 NO Increase by 100 units/hour 68-83 0 NO No change 84-91 0 NO Decrease by 100 units/hour 92-107 0 30 minutes Decrease by 100 units/hour over 107 0 60 minutes Decrease by 200 units/hour over 150 0 YES Call MD Physician Signature _______________________________________________________ Physician # ______________________________________ OR Initiated by RN ________________________________________________________ per MD order dated _______________________________ Patient Identification Sutter Medical Center, Sacramento A Sutter Health Affiliate Heparin Drip Protocol Orders 02134 (6/3/09) ORDERS ...
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This note was uploaded on 12/26/2009 for the course PHYS 341 taught by Professor Mavromatis during the Spring '09 term at American University of Beirut.

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