A client with a deep vein thrombosis (DVT) is prescribed a heparin drip. The loading dose of

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Question:

A client with a deep vein thrombosis (DVT) is prescribed a heparin drip. The loading dose of 80 units/kg to a maximum of 5000 units is prescribed. The client weighs 190 lbs.
Available: heparin 5000 units/mL vial.
a. Client weight in kg _______ (round to nearest hundredth)
b. Loading dose ________units (round to nearest whole unit)
c. Volume to administer ___________mL

2. After administering the bolus dose, the prescription indicates to initiate a heparin infusion at 18 units/kg/hr). Available: heparin 25,000 units in 250mL D5W.
a. How many units will the patient receive?
b. What rate will the infusion pump be set (mL/hr)? Round to the nearest tenth.

3. The client’s aPTT at next check is 39.8.
a. Using the above protocol, how much heparin would you bolus? (Round to nearest whole unit)
b. How would you adjust the infusion rate?
c. What is the new setting on the infusion pump (mL/hr)? Round to the nearest tenth.
d. When would you check the aPTT again?

4. The client’s aPTT at next check is 122
a. Using the above protocol, how would you adjust the infusion rate?
b. What is the new setting on the infusion pump (mL/hr)? Round to the nearest tenth.