Deep vein thrombosis

1. 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.

Weight Based Heparin Protocol HIGH Intensity Dosing Increase by 4 units/kg/hour ‘6 hours Increase by 2
units/kg/hour w” No Change Then (1 AM 112— 150 ” Decrease by 2 units/kg/hour m 151— 169 “_ Decrease
hy3units/kg/hour NotivaD 6 hours (after restart)