Reference no: EM133725018

Question

A client diagnosed with a pulmonary embolism is to be started on a heparin drip as per protocol. The client's weight is 180 pounds. The healthcare provider orders as follows: Give heparin IV bolus 80 units/kg IV push. THEN Start the heparin infusion at 18 units/kg/hr. Heparin is available as 5,000 units per ml per vial. Heparin is available as 25,000 units/250 ml for infusion. How much will the nurse administer per ml for the heparin bolus IV push? At what rate will the nurse initiate the heparin infusion in ml/hr? Heparin protocol below: aPTT Infusion Rate change Repeat aPTT in 6 hours Less than 36.6-62.4 Increase by 400 units/hr 6 hours 36.6-62.4 Increase by 200 units/hr 6 hours 62.5-105.4 None 6 hours 1930 Lab Results aPTT 32.2 seconds Based on the aPTT results at 1900, what will the new heparin infusion rate change to in ml/hr?