Hello, I am a nursing student and need some assistance with the…
Question Answered step-by-step Hello, I am a nursing student and need some assistance with the… Hello, I am a nursing student and need some assistance with the heparin therapy critical thinking assignment. Could you help with the nursing interventions per each situation? What would I need to do next? What would I do next? Thank you in advance! 1. Mr. R.T. has a PICC line for long term antibiotic therapy. At 2100, you note the following order on his MAR: Heparin flush (100units/ml) 3ml every 12 hours The patient’s medication box contains a vial of Heparin with the following information: Heparin sodium injection, USP 5000 units per ml For subcutaneous or intravenous use What do you do next? 2. Mr. D.W has been admitted for new onset atrial fib. He is on IV heparin therapy. At the start of your shift, you note the following order on his MAR: Heparin 25,000 units in 250 ml 0.9 NS Infuse at 800 units/hr The infusion pump is set at 10 ml/hr What do you do next? The following therapeutic ranges will be used in the next heparin infusion scenarios. ACS/AFib low intensity target PTT 55-75 DVT/PE high intensity target PTT 65-109 3. M.X. is a 35-year-old female with a pulmonary embolism. She is receiving an intravenous infusion of Heparin 24.5 ml/hr. PTT 103 seconds platelets are 233 (prev 201) What should you do? 4. M.Y. is a 50-year-old male with unstable angina r/o MI. He is receiving intravenous Heparin at 12 ml/hr. PTT is 200 platelets are 371 What is your next action? 5. Z.Z. is a 64-year-old male with a new onset of atrial fibrillation. He is receiving an infusion of Heparin at 11 ml/hr. PTT 47 platelets 341 What should you do? 6. A.B. is a 58-year-old male with a new inferior wall NSTEMI. Heparin is running at 14 ml/hr. PTT 78 Platelets 90 (previous 150) What should you do next? 7. M.M. is a 91-year-old female with SOB due to an acute pulmonary embolism. Heparin is infusing at 7.5 ml/hr. PTT 80 Platelets 175 What should you do? 8. You are working at a facility where RNs administer IV Heparin using a protocol (see attached). Mr. J.S. has an order to initiate Heparin therapy according to the protocol. He weighs 198 pounds. Pharmacy has sent an IV bag with Heparin 25,000 units in 250 mg D5W and a vial marked Heparin 10,000 units per ml. What do you do next? 9. Mr. J.S. has been receiving his Heparin as initiated in the previous scenario. New lab results show the following: aPTT 46 Platelets 300 Using the protocol, what is your next action? 10. The heparin infusion for Mr. J.S. continues while he is bridging to warfarin. New lab results show the following: aPTT 75 Platelets 290 INR 1.5 Using the protocol what is your next action? Health Science Science Nursing NURS 2265 Share QuestionEmailCopy link Comments (0)
