[Answered]: Initial Heparin Therapy: Using héparin 25,000 Units…

Initial Heparin Therapy: Using héparin 25,000 Units in 500 ml of IV fluid =50-Units/mil IV. BOLUS: WEIGHT<= 67 kgs. = 4,000 units If Weight >67 kgs. Bolus= 5000 Units IN INFUSION:WT. <= 67 kgs. then= 800 Units/hr:(f Wt. >67 kgs. then= 1000 Units/hr.) 2. HEPARIN INFUSION AND PIT BASED ON SLIDING SCALE BELOW: If unable to arrive at therapeutic PTT after 2 adjustments follow the initial bolus, notify physician: PTT BOLUS DOSE (V) STOP INFUSION RATE CHANGE (50Units/ML)REPEAT PTT < 30 sec Repeat full bolus +4 ml/hour (by 200 Units/hour) 6 hr. 31-40 sec Repeat 1/2 bolus +2 ml/hour (by 100 Units/hour) Next A.M. 41-45 sec +1 ml/hour (by 50 Units/hour) Next A.M. 46-75 sec No change (Therapeutic) Next A.M. 76-80 sec -1 ml/hour (by 50 Units/hour) Next A.M. 81-90 sec -2 ml/hour (by 100 Units/hour) Next A.M.. >90 <=100 30 minutes -3 ml/hour (by 150 Units/hour) Next A.M. >100 sec 60 minutes -4 ml/hour (by 200 Units/hour) 6 hr,The PTTI=33 seconds. 1. How much Heparin will the nurse administer? 2. Which route will the nurse use when administering the Heparin? 3. What is the new Heparin Infusion rate? 4. What else does the nurse need to do?