Purpose: To initiate and adjust heparin therapy for patients receiving slow continuous dialysis.		Citations with documentation. 04.01.04	Sriram & Svirbely 1997
data	enter
lower end of normal PTT range in seconds		seconds
upper end of normal PTT range in seconds		seconds
calculate initial regimen	results
mean of PTT normal range	29.5	seconds
lower end therapeutic range	44	seconds
upper end therapeutic range	59	seconds
heparin bolus	2,000	units IV
volume D5W for constant infusion solution		mL
concentration of infusion solution desired		units per mL
amount of heparin to inject for infusion solution	10,000	units
initial infusion rate (units/hour)		units per hour
mL per hour of infusion solution	25	mL per hour
next PTT	4 hours
first review	enter
measured arterial PTT		seconds
measured venous PTT		seconds
evaluate	results
infusion rate	600	units per hour
mL per hour of infusion solution	30	mL per hour
perform next PTT in	4 hours
second review	enter
measured arterial PTT		seconds
measured venous PTT		seconds
evaluate	results
infusion rate	700	units per hour
mL per hour of infusion solution	35	mL per hour
perform next PTT in	4 hours
third review	enter
measured arterial PTT		seconds
measured venous PTT		seconds
evaluate	results
infusion rate	700	units per hour
mL per hour of infusion solution	35	mL per hour
perform next PTT in	4 hours
fourth review	enter
measured arterial PTT		seconds
measured venous PTT		seconds
evaluate	results
infusion rate	700	units per hour
mL per hour of infusion solution	35	mL per hour
perform next PTT in	4 hours
fifth review	enter
measured arterial PTT		seconds
measured venous PTT		seconds
evaluate	results
infusion rate	700	units per hour
mL per hour of infusion solution	35	mL per hour
perform next PTT in	4 hours
sixth review	enter
measured arterial PTT		seconds
measured venous PTT		seconds
evaluate	results
infusion rate	700	units per hour
mL per hour of infusion solution	35	mL per hour
perform next PTT in	4 hours