Purpose: To initiate and adjust heparin therapy.   Citations with documentation. 04.01.02 Sriram & Svirbely 1997
 
conversion enter  
body weight in pounds lbs. equals 75 kilograms
 
data enter  
body weight in kilograms kilograms  
lower end of normal PTT range in seconds seconds  
upper end of normal PTT range in seconds seconds  
PTT at 0.2 U/mL heparin seconds  
PTT at 0.3 U/mL heparin seconds  
 
calculate initial regimen results  
data complete? Yes  
heparin bolus 6,000 units IV  
initial infusion rate (units/hour) 1,350 units per hour  
mLs per hour of 50 U/mL solution (25,000 U heparin in 500 mL D5W) 27 mL per hour  
perform next PTT in 6 hours  
     
 
first review enter  
measured PTT seconds  
     
evaluate results  
continue original infusion :-):-):-) :-):-):-)  
infusion rate per kilogram 18 units/kg  
infusion rate 1,350 units/hour  
mL per hour of 50 U/mL solution 27 mL/hour  
perform next PTT in 6 hours  
     
     
second review enter  
measured PTT seconds  
     
evaluate results  
continue infusion :-):-):-) :-):-):-)  
infusion rate per kilogram 18 units/kg  
infusion rate 1,350 units/hour  
mL per hour of 50 U/mL solution 27 mL/hour  
perfrom next PTT in 24 hours  
     
     
third review enter  
measured PTT seconds  
     
evaluate results  
continue infusion :-):-):-) :-):-):-)  
infusion rate per kilogram 18 units/kilogram  
infusion rate 1,350 units/hour  
mL per hour of 50 U/mL solution 27 mL/hour  
perform next PTT in 24 hours  
     
     
fourth review enter  
measured PTT seconds  
     
evaluate results  
continue infusion :-):-):-) :-):-):-)  
infusion rate per kilogram 18 units/kg  
infusion rate 1,350 units/hour  
mL per hour of 50 U/mL solution 27 mL/hour  
perform next PTT in 24 hours  
     
     
fifth review enter  
measured PTT seconds  
     
evaluate results  
continue infusion :-):-):-) :-):-):-)  
infusion rate per kilogram 18 units/kg  
infusion rate 1,350 units/hour  
mL per hour of 50 U/mL solution 27 mL/hour  
perform next PTT in 24 hours  
 

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