Mrs. Jay, a 73 year old female, has been admitted to the hospital for treatment of...
Mrs. Jay, a 73 year old female, has been admitted to the hospital for treatment of a deep vein thrombosis in her right calf. Her PMH includes hypertension. She has been taking Capoten 12.5 mg BID with good control of her pressure. She is ordered on bedrest with the following orders:
Heparin 5000units IV bolus, followed by a heparin drip of 25,000units in 250ml to infuse at 1000 units per hour. Follow heparin protocol that includes obtaining a stat aPTT 6 hours after initiation and 6 hours after any dose change.
1. How many mL per hour will you administer the heparin drip to deliver 1000 units per hour?
2. What is an aPTT? What is a therapeutic range?
3. How does heparin work? What precautions need to be taken?
4. What is the treatment for a heparin overdose?
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Mrs. Jay, a 73 year old female, has been admitted to the
hospital for treatment of...
Mrs. Jay, a 73 year old female, has been admitted to the hospital for treatment of...
Mrs. Jay, a 73 year old female, has been admitted to the hospital for treatment of deep vein thrombosis in her right calf. Her PMH includes hypertension. She has been taking Capoten 12.5 mg BID with good control of her pressure. She is ordered on bedrest with the following orders: Heparin 5000units IV bolus, followed by a heparin drip of 25,000units in 250ml to infuse at 1000 units per hour. Follow heparin protocol that includes obtaining a stat aPTT 6 hours...
Mrs. Jay, a 73 year old female, has been admitted to the hospital for treatment of...
Mrs. Jay, a 73 year old female, has been admitted to the hospital for treatment of a deep vein thrombosis in her right calf. Her PMH includes hypertension. She has been taking Capoten 12.5 mg BID with good control of her pressure. She is ordered on bedrest with the following orders: Heparin 5000units IV bolus, followed by a heparin drip of 25,000units in 250ml to infuse at 1000 units per hour. Follow heparin protocol that includes obtaining a stat aPTT 6...
Sandra is a 27-year-old female admitted with a possible Deep Vein Thrombosis (DVT). She smokes one...
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A 44-year-old female of northern European descent was admitted to the emergency department with se- vere abdominal pain. History revealed treatment for deep vein thrombosis at age 30. She was treated with warfarin but had recently not been taking her medication. A thrombosis in an abdominal vein was confirmed by radiographic studies. The patient was placed on heparin, which stopped any further thrombosis. The coagulation workup is as follows: Platelet Count = 135 x 109/L Protime = 15.5 sec Fibrinogen...
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