Get Answer: Nurse Notes Following Question Guide

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to nurse notes following and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves nurse notes following. A strong answer should include explanation, application, and examples.

Original Question

The nurse notes the following protocol-dependent heparin order set is available at their hospital. What should the nurse do with the drip rate based on the following aPTT results? 32 seconds 1._______ 80 seconds 2. _______ 42 seconds 3. _______ 150 seconds 4. ______ The nurse notes the following protocol dependent heparin order set is available: For all patients on heparin drips: 1. Daily weights in kilograms: ___________ kg 2. Intravenous concentration: Heparin 25,000/250 mL D5W 3. Boluses to be given IV push. 4. APTT prior to initiation of Heparin drip then q 6 hours after rate change; qd. after two consecutive therapeutic aPTT levels. 5. CBC prior to starting Heparin gtt then daily. 6. Neuro checks every 4 hours while on heparin drip. Notify the provider if any changes noted. 7. Discontinue aPTT and CBC when heparin infusion is discontinued unless ordered otherwise. 8. Notify physician of any bleeding problems. 9. Bolus with ____________ units/kg. Start heparin drip at _________ units/kg. Follow the following aPTT protocol aPTT Bolus Drip Rate <35 secs. Rebolus with 80 units/kg Increase rate by 4 units/kg/hour 36-44 Rebolus with 40 units/kg Increase rate by 2 units/kg/hour 45-75 0 Continue with current rate 76-90 0 Decrease rate by 2 units/kg/hour >90 0 Hold heparin for 1 hour then decrease rate by 3 units/kg/hour

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