Heparin Nomogram Practice Questions RNSG 2414 Heparin Nomogram

Heparin Nomogram Practice Questions RNSG 2414

Heparin Nomogram PTT less than 37 seconds Bolus 5600 units and increase drip rate by 280 units/hr PTT 37 -49 seconds Bolus 2800 units and increase drip rate by 140 units/hr PTT 50 -75 seconds No Change PTT 76 -90 seconds Reduce drip rate by 140 units/hr PTT greater than 90 seconds Hold heparin infusion 1 hr. , then reduce drip by 210 units/hr PTT greater than 200 seconds Hold heparin infusion 1 hr. , then reduce drip by 290 units/hr Patient’s PTT is 104. Heparin drip is currently hanging at 1200 units/hr. The pump is set at 12 ml/hr. Follow the nomagram and answer the following questions.

q What changes will be made based on the nomogram? q How much Heparin bolus will be Bolus vial needed. State answer in number of units and in ml to be given. (Round ml’s to nearest tenth) q What is the concentration of the Heparin drip per ml? q After the change, what is the total number of units/hr? q What will the pump be set at? (ml/hr rounded to nearest tenth) Heparin Drip

q What changes will be made based on the nomogram? q Hold heparin infusion 1 hr. , then reduce drip by 210 units/hr Bolus vial (1000 units/ml) q How much Heparin bolus will be needed. State answer in number of units and in ml to be given. (Round ml’s to nearest tenth) q No bolus given, No ml’s needed q What is the concentration of the Heparin drip per ml? q 100 units/ml Heparin Drip (25, 000 units/250 ml or 100 units/ml q After the change, what is the total number of units/hr? q 990 units/hr q What will the pump be set at? (ml/hr rounded to nearest tenth) q Hold for 1 hour then restart at 9. 9 ml/hr

Heparin Nomogram PTT less than 37 seconds Bolus 8400 units and increase drip rate by 340 units/hr PTT 37 -49 seconds Bolus 3600 units and increase drip rate by 180 units/hr PTT 50 -75 seconds No Change PTT 76 -90 seconds Reduce drip rate by 160 units/hr PTT greater than 90 seconds Hold heparin infusion 1 hr. , then reduce drip by 250 units/hr PTT greater than 200 seconds Hold heparin infusion 90 minutes, then reduce drip by 360 units/hr Patient’s PTT is 41. Heparin drip is currently hanging at 850 units/hr. The pump is set at 17 ml/hr. Follow the nomagram and answer the following questions.

q What changes will be made based on the nomogram? q How much Heparin bolus will be needed. State answer in number of units and in ml to be given. (Round ml’s to nearest tenth) q What is the concentration of the Heparin drip per ml? q After the change, what is the total number of units/hr? q What will the pump be set at? (ml/hr rounded to nearest tenth)

q What changes will be made based on the nomogram? q Bolus 3600 units and increase drip rate by 180 units/hr q How much Heparin bolus will be needed. State answer in number of units and in ml to be given. (Round ml’s to nearest tenth) q Needed 3600 units, 0. 7 ml q What is the concentration of the Heparin drip per ml? q 50 units/ml q After the change, what is the total number of units/hr? q 1030 units q What will the pump be set at? (ml/hr rounded to nearest tenth) q 20. 6 ml/hr

Heparin Nomogram PTT less than 37 seconds Bolus 4500 units and increase drip rate by 260 units/hr PTT 37 -49 seconds Bolus 2300 units and increase drip rate by 120 units/hr PTT 50 -75 seconds No Change PTT 76 -90 seconds Reduce drip rate by 140 units/hr PTT greater than 90 seconds Hold heparin infusion 1 hr. , then reduce drip by 180 units/hr PTT greater than 200 seconds Hold heparin infusion 1 hr. , then reduce drip by 300 units/hr Patient’s PTT is 17. Heparin drip is currently hanging at 1000 units/hr. The pump is set at 25 ml/hr. Follow the nomagram and answer the following questions.

q What changes will be made based on the nomogram? q How much Heparin bolus will be needed. State answer in number of units and in ml to be given. (Round ml’s to nearest tenth) q What is the concentration of the Heparin 20, 000 units/500 ml drip per ml? q After the change, what is the total number of units/hr? q What will the pump be set at? (ml/hr rounded to nearest tenth)

q What changes will be made based on the nomogram? q Bolus 4500 units and increase drip rate by 260 units/hr q How much Heparin bolus will be needed. State answer in number of units and in ml to be given. (Round ml’s to nearest tenth) q 4500 units, 0. 5 ml q What is the concentration of the Heparin drip per ml? q 40 units/ml q After the change, what is the total number of units/hr? q 1260 units/hr q What will the pump be set at? (ml/hr rounded to nearest tenth) q 31. 5 ml/hr