Problem 50
Round the weight to the nearest tenth. A client weighs 154 lb. Heparin IV infusion: heparin sodium 20,000 units in \(1,000 \mathrm{~mL}\) D5W. The hospital protocol is to give a bolus to the client with 80 units/kg and start drip at 14 units/kg/hr. Calculate the following: a. Heparin bolus dosage b. Infusion rate for the IV drip units/hr c. Infusion rate in \(\mathrm{mL} / \mathrm{hr}\)
Problem 51
Adjust intravenous heparin daily based on APTT results. \- APTT less than 35 sec: Rebolus with 80 units/kg and increase rate by 4 units/kg/hr. \- APTT \(35-45\) sec: Rebolus with 40 units/kg and increase rate by 2 units/kg/hr. \- APTT 46-70 sec: No change. \- APTT \(71-90\) sec: Decrease rate by 2 units/kg/hr. \- APTT greater than 90 sec: Stop heparin infusion for 1 hour and decrease rate by 3 units/ \(\mathrm{kg} / \mathrm{hr}\) A client weighs \(100 \mathrm{~kg}\). Determine the bolus dose of heparin, the initial infusion rate, and then adjust the hourly infusion rate up or down based on APTT results using the above weight-based heparin protocol. The APTT is reported as 71 seconds. The pump delivers in whole \(\mathrm{mL} / \mathrm{hr}\).
