Sherpath Ch. 22
A patient has prescription for heparin drip for 1100 units/hr, and a nurse has available 25,000 units of heparin in 250 mL of dextrose 5% in water (D5W). At which rate of mL/hr is the pump to be programmed?
11 mL/hr
The health care provider has prescribed a continuous infusion of heparin to infuse at 1300 units per hour. The pharmacy has supplied a bag of heparin 25,000 units (250 mL). At what rate will the nurse set the infusion pump?
13 mL/hr
A patient has a prescription for a heparin drip for 900 units/hr, and a nurse has available 30,000 units if her pain in 500 mL of dextrose in water (D5W). At which rate of mL/hr is the pump to be programmed?
15 mL/hr
A patient has a prescription for a heparin drip to run at a rate of 800 units/hr, and a nurse has an available 25,000 units in 500 mL of dextrose 5% water (D5W). How many mL/hr does the nurse program the pump for?
16 mL/hr
A patient has a continuous heparin infusion of 8mL/hr and the heparin concentration is 30,000 units in 500 mL of 0.9% normal saline. How many units/hr of heparin is the patient receiving?
480 units/hr
A patient has a continuous heparin undulation at 12 mL/hr, and the her pain concentration is 10,000 units in 250 mL of dextrose 5% in water (D5W). How many units per hours of heparin is the patient receiving?
480 units/hr
A patient has a prescription for a heparin drip to run at 300 units/hr, and a nurse has an available 15,000 units of heparin in 250 mL of dextrose 5% water (D5W). How many mL/hr does the nurse program the pump for?
5 mL/hr
Which dosage strength is units per mL is Heparin Lick Flush Solution available in? Select all that apply. One, some, or all responses may be correct.
10,000
During calculation of a heparin dosage, which number of mL would the nurse administer using the recommended heparin calculation guiltiness if the calculation ends up as 0.75mL?
0.75
Which information would be used in the numerator of the starting fraction when using dimensional analysis to calculate the desired mL per hour based upon an order to infuse heparin at 500 units per hour using a solution containing 30,000 units in 1,000 mL of D5W?
1,000 mL
A patient has a continuous heparin drip infusing at 18 mL/hr, and the concentration of heparin infusing is 25,000 units in 250mL of dextrose 5% in water (D5W).How many units/hr of heparin is the patient receiving?
1,800 units/hr
Which information would the nurse expect to find in a heparin protocol? Select all that apply.
1. Loading dose based on weight in kg 2. Initial infusion rate based on weight in kg 3. Directions for additional bolus based on activated partial thromboplastin time (APTT) results 4. Recommended rate alterations based on APTT results
Which concentration of Heparin in units per mL will a nurse administer as a routine heparin flush?
10
Which dosage strength in units per mL is Heparin Lock Flush Solution available in? Select all that apply.
10 and 100
A patient prescribed heparin intravenous (IV) at 800 units/hr, and the concentration of heparin available is 20,000 units in 250 mL dextrose 5% in water (D5W). At which rate in mL/hr is the IV pump programmed?
10 mL/hr
A patient has a prescription for heparin drip at 1200 units/hr, and a nurse has available 15,000 units of heparin in 250 mL of dextrose 5% in water (D5W). How many mL/hr does the nurse program the pump for?
20 mL/hr
Which information when calculation units per hour for a continuous hearing infusion of 20,000 units in 1000 mL of D5W to infuse 30 mL per hour, is used as the "known ratio"?
20,000 units / 1000 mL
A patient has a prescription for a heparin drip to infuse at 1,400 units/hr, and a nurse has an available 25,000 units of heparin in 500 mL of dextrose 5% water (D5W). How many mL/hr does the nurse program the pump for?
28 mL/hr
Which number of units is the upper limit of administration for continuous heparin IV infusion over a 24-hour period for an adult?
40,000
Using the formula method, which information would the nurse place as the numerator on the right hand side of the equation to calculate the number of mL needed to administer 7,500 units of heparin subcut daily if the nurse has heparin available as 10,000 units per mL?
7,500 units
A patient is prescribed heparin 900 units/hr, and the concentration of heparin is 25000 in 250 mL. How many milliliters per hour does a nurse program the pump to deliver the correct dosage?
9 mL/hr
Which laboratory test must be routinely monitored for clients receiving heparin?
Activated partial thromboplastin time (APTT)
Which action would the nurse take initially if an order for heparin reads: Heparin 7,500 u subcut daily?
Clarify order with healthcare provider
Which type of syringe would the nurse use to administer heparin subcutaneously?
Tuberculin
Which information is used to individualize the client's dose of heparin?
Weight
Using the formula method, which information would the nurse place on the right hand side of an equation to calculate the number of mL needed to administer 7,500 units of heparin subcut daily if the nurse has heparin available as 10,000n units per mL?
x mL
Using the ratio and proportion fraction method, which information would the nurse place as the denominator on the right hand side of the equation to calculate the number of mL needed to administer 7,500 units of heparin subcut daily if the nurse has heparin available as 10,000 units per mL?
x mL
