WebHeparins are sulphated glycosaminoglycans that inactivate thrombin, factor Xa, and several other coagulation factors; act by enhancing activity of the plasma coagulation inhibitor, antithrombin III (AT III); and prolong the activated partial thromboplastin time (APTT). WebHeparin (3 ml) - Adult: 100 units/ml - Pediatric: < 12 kg - 10 units/ml > 12 kg - 100 units/ml - NICU: 10 units/ml (maximum 3 ml) or per physician’s order • When not in use, flush as follows: - Adult flush q day - Tunneled catheters: * 300 units of heparin diluted in 5-10 ml Normal saline (NS). (Do not use less than 5 ml)
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WebHeparin 4000 units IV (usual dose 60 units/kg to a max of 4000 units) For patients with ST elevation myocardial infarction, refer to STEMI reperfusion order set, Form CH-0454 Initial IV infusion rate Heparin 18 units/kg/hour Heparin ____units/kg/hour Heparin 12 units/kg/hour Heparin _____units/kg/hour Heparin 12 units/kg/hour Heparin WebGuidelines for Adjusted Dose, Full Intensity SQ Heparin Initial Dosing Starting therapy with adjusted-dose SQ heparin Give UHF 240 units/kg SQ x 1 Check aPTT 6 hours after first dose Adjust dosing according to chart below Converting from continuous infusion heparin to adjusted dose SQ heparin dr wilton guelph
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WebA nomogram for the adjustment of heparin dosage was developed to standardize heparin therapy and to reduce delays in achieving and maintaining a therapeutic activated partial … WebHeparin Monitoring with Anti-Xa Activity (HIXA) Used to monitor heparin activity and more accurately reflects the specific amount of heparin effect than PTT. Click here to see UW Medicine’s Heparin Infusion Using AntiXa Monitoring Protocol. The therapeutic range for IV unfractionated heparin: 0.3-0.7 units/mL. WebPROTOCOL 3: -Consider IVC filter if VTE < 4/52 prior to surgery -Cease warfarin 5 days prior (i.e. omit 4 doses) -Admit for IV adjusted dose unfractionated heparin 2 days prior to surgery (as per relevant SESLHD protocol) -Maintain therapeutic APTT -Cease IV heparin 4 hours pre-op Post operatively: dr. wilton littlechild