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How to correctly initiate and maintain Heparin and Insulin drips per protocol
Dr. M orders a heparin drip for Mr. I.M. Thicke. Mr. Thicke weighs 181.7 kg. After obtaining his labs, his baseline PTT is 74.
A. What weight are we going to use to initiate the orders? B. What is our bolus dose? C. What is our beginning infusion rate?
Heparin Titration
Things to Remember
If at any time the PTT is greater than 130, HOLD the drip, recheck PTT every 2 hours, until less than 115. Restart heparin drip at reduced rate according to the chart Hemoccult all stools and NG aspiration and notify MD of positive results Make sure protamine sulfate is on the patients profile