1. You have a patient with heparin infusion. Am last PTT was 63.8. You get next results, and now is 23.5. What could have caused PTT levels to drop?
2. Your patient reports to you he has some slight bleeding when brushing his teeth and he also saw blood in his stool. What are your interventions. Last PTT 74.6. Your range is 60-80.
3. You have an order to start heparin protocol. Imitial bolus is 5000 units. How will you give the initial bolus?Is it all straight unclamped infusion, or do I convert that by heparin protocol?
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Heparin questions
Started by Evana, Jan 31 2006 04:40 PM
6 replies to this topic
#2
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Posted 01 February 2006 - 09:02 PM
QUOTE(Evana @ Jan 31 2006, 04:40 PM) 
1. You have a patient with heparin infusion. Am last PTT was 63.8. You get next results, and now is 23.5. What could have caused PTT levels to drop?repeat ptt, talk with pt. was infusion disconnected/stopped
2. Your patient reports to you he has some slight bleeding when brushing his teeth and he also saw blood in his stool. What are your interventions. Last PTT 74.6. Your range is 60-80.notify md although within range, pt. is having symptoms that this ptt is too high for this pt.
3. You have an order to start heparin protocol. Imitial bolus is 5000 units. How will you give the initial bolus?Is it all straight unclamped infusion, or do I convert that by heparin protocol?ivp with heparin drip tostart immed, 5000 units is considered loading dose
#3
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Posted 02 February 2006 - 04:30 AM
hi,
1. first i check to see if the pt was connected to the heparin gtt and if so , next i would redraw the lab and see what the outcome of that result was. Also, i would notify the md.
2. I would notifiy md and im sure he would stop the heparin and draw stat coags and cbc.
3. The 5000 unit bolus is given iv push then start the gtt per order.
1. first i check to see if the pt was connected to the heparin gtt and if so , next i would redraw the lab and see what the outcome of that result was. Also, i would notify the md.
2. I would notifiy md and im sure he would stop the heparin and draw stat coags and cbc.
3. The 5000 unit bolus is given iv push then start the gtt per order.
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#4
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Posted 02 February 2006 - 04:36 PM
I think its good to help students, but we have to be careful we are not doing their schoolwork for them guys. 
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#5
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Posted 02 February 2006 - 05:41 PM
QUOTE(mattsmom @ Feb 2 2006, 04:36 PM)
I think its good to help students, but we have to be careful we are not doing their schoolwork for them guys.
Thank you for the ideas for heparing problems. These were not schoolwork questions, but problems from my work. I looked some up in books but could not find one "agreeable" answer. Thanks guys for reply
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