Your medical team will check to see how well heparin is working with a … UW Medicine Standard Protocols – Initiation Dosing. Start heparin infusion at 30 units/kg/hour for neonates, 20 units/kg/hr for older children, and 13 units/kg/hr if >40 kg Collect the following labs 4 hours after heparin infusion … -Maintenance dose: 20,000 to 40,000 units per 24 hours by continuous IV infusion. Ensure antidote is readily available 7. Note: Program utilizes locally modified Raschke and ACC nomograms. 3. Perform rights of medication administration 6. Unfractionated Heparin Infusion Protocol Objective: To standardize heparin anticoagulation therapy at University Hospital. This gives a concentration of 1000 units in 1ml. with a history of heparin-induced thrombocytopenia (HIT) should not receive heparin or low molecular weight heparin and patients with impaired renal function will either have a contraindication to medications or need to have doses adjusted based on creatinine clearance. It has been recognized in the literature that patients in whom heparin infusion therapy is dosed according to weight-based nomograms achieve earlier therapeutic range, shorter length of … 2. Heparin Dosing Protocols – Medical City Dallas. Order standard heparin infusion with starting rate defaulted based on indication. The authors make no claims of the accuracy of the information contained herein; and these suggested doses are not a substitute for clinical judgement. Getting a heparin infusion. Administer intravenously via syringe driver – following this guide. Requirement EP 2: The [hospital/organization] uses approved protocols and evidence-based practice guidelines for reversal of anticoagulation and management of bleeding events related to each anticoagulant medication. Perform medication safety check with another RN per Heparin protocol 5. It is important to have your blood drawn and tested to get the correct amount of heparin in your blood. The drug heparin is sometimes given as an infusion through an IV line. Obtain baseline information per Heparin Infusion protocol 4. Safety option: Modify if necessary- Used for DVT/PE if selected. Med Calc: Heparin Weight-Based Protocol. DISCLAIMER: All calculations must be confirmed before use. Then, depending on the patient’s gender, indication for heparin, and route of heparin administration, the nurse selected one of … On June 18 2013, UWMC and HMC rolled out new heparin protocols for inpatient IV heparin infusions. In addition to heparin Unfractionated Heparin Infusion – for Adult Patients Obtain ready made heparin sodium 25,000units in 25ml (produced in a 50ml syringe) from the Pharmacy Aseptic Unit. heparin administration procedures differed in at least two ways: In the older version, the nurse accessed a computer menu of eight variations of the heparin protocol. 1. Provide loading dose of 75 units/kg 2. Anti-factor Xa level (ordered as “Heparin-Unfractionated” in EPIC) Initiate heparin therapy: 1. Perform patient/ family teaching prior to initiating Heparin Infusion protocol 3. NEW HEPARIN PROTOCOLS at UW Medicine. Rationale B leeding is the most common complication of all anticoagulants. Program collaborator: Pejman Pirmroadi, Pharm.D., Medical City Dallas Hospital. IF DVT/PE selected above, Fill in the section below. The manufacturer provides the following dosing guidelines based on clinical experience: Continuous IV infusion: -Initial dose: 5000 units by IV injection. Please visit the "Heparin" section in the Drugs menu for the new protocols and algorithms. Usual Adult Dose for Prevention of Thromboembolism in Atrial Fibrillation. Order Loading Bolus, if warranted. 2.
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