A 56-year-old male is admitted with atrial fibrillation and has been prescribed heparin IV. He weighs 165 lbs. Use the dosing information below to answer the questions that follow: IV: Initial bolus of 60 to 80 units/kg (maximum: 5,000 units), followed by a continuous infusion of 12 to 18 units/kg/hour (maximum: 1,000 units/hour). Institutional dosing protocols may vary; adjust infusion rate to maintain anticoagulation target (ACCP [Garcia 2012]; ACCP [You 2012]; Dager 2018). 2. The physician asked pharmacy to recommend the lowest appropriate weight-based dose. Calculate the initial bolus.in units? [Report whole number] 3. Using the product vial label below, calculate the initial bolus dose in mL. [Report to 1 decimal place] NOO 2501-402-01 - HEPARIN Sodium Injection, USP 5,000 per m HTT 1 mL INFIGN M Pron Pucis Ind led 4. What is your recommendation for his continuous infusion dose (mL/hr) if a 250 mL D5W bag containing 25,000 units of heparin is used? [Report whole number]

Cardiopulmonary Anatomy & Physiology
7th Edition
ISBN:9781337794909
Author:Des Jardins, Terry.
Publisher:Des Jardins, Terry.
Chapter15: Hemodynamic Measurements
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A 56-year-old male is admitted with atrial fibrillation and has been prescribed heparin IV. He weighs 165 lbs. Use the
dosing information below to answer the questions that follow:
IV: Initial bolus of 60 to 80 units/kg (maximum: 5,000 units), followed by a continuous infusion of 12 to 18 units/kg/hour
(maximum: 1,000 units/hour). Institutional dosing protocols may vary; adjust infusion rate to maintain anticoagulation
target (ACCP [Garcia 2012]; ACCP [You 2012]; Dager 2018).
2. The physician asked pharmacy to recommend the lowest appropriate weight-based dose. Calculate the initial bolus.in
units? [Report whole number]
3. Using the product vial label below, calculate the initial bolus dose in mL. [Report to 1 decimal place]
NOC 15021-402-01
HEPARIN
Sodium Injection, US
5,000
UP per m
FOR LOCK FLUSH
1 mL
IMPIGN
MA
Pron Pucis Ind
led
4. What is your recommendation for his continuous infusion dose (mL/hr) if a 250 mL D5W bag containing
25,000 units of heparin is used? [Report whole number]
Transcribed Image Text:A 56-year-old male is admitted with atrial fibrillation and has been prescribed heparin IV. He weighs 165 lbs. Use the dosing information below to answer the questions that follow: IV: Initial bolus of 60 to 80 units/kg (maximum: 5,000 units), followed by a continuous infusion of 12 to 18 units/kg/hour (maximum: 1,000 units/hour). Institutional dosing protocols may vary; adjust infusion rate to maintain anticoagulation target (ACCP [Garcia 2012]; ACCP [You 2012]; Dager 2018). 2. The physician asked pharmacy to recommend the lowest appropriate weight-based dose. Calculate the initial bolus.in units? [Report whole number] 3. Using the product vial label below, calculate the initial bolus dose in mL. [Report to 1 decimal place] NOC 15021-402-01 HEPARIN Sodium Injection, US 5,000 UP per m FOR LOCK FLUSH 1 mL IMPIGN MA Pron Pucis Ind led 4. What is your recommendation for his continuous infusion dose (mL/hr) if a 250 mL D5W bag containing 25,000 units of heparin is used? [Report whole number]
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