Directions: Use the Following Weight-Based Heparin Protocol for the Following

question 9

Essay

Directions: Use the following weight-based heparin protocol for the following problems.
1. Bolus heparin at 80 units/kg
2. Begin intravenous infusion of heparin at 18 units/kg/hr using 25,000 units of heparin in 250 mL of 0.45% NaCl for 100 units per mL.
3. Adjust intravenous heparin daily on the basis of 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/kg/hr
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A client weighs 158.4 lb. Determine the bolus dose of heparin, the initial infusion rate, and then adjust the hourly infusion rate based on the APTT results. APTT is reported as 88. The IV pump is calibrated to deliver in tenths of an mL/hr.

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Definitions:

Limited Queue Length

A queue system in which the total number of items or customers that can wait in line is capped or limited.

Multiple Single-Channel Systems

Systems involving various individual pathways through which processes or transactions occur sequentially.

Utilization Factor

A metric that measures the percentage of time that a resource (e.g., machine, employee) is actively used compared to the total available time.

Time Between Arrivals

The average or specified period of time that elapses between the arrival of successive units, customers, or entities in a process or system.