|
|
| Strengths/Mixed: Heparin: |
| 1X: 100 u/ml 10X: 1000 u/ml 50X: 5000 u/ml |
| Acute MI - PCI: |
| ADULT: |
| LD: 50-70 u/kg after Glycoprotein IIb/IIIa Target ACT 200-250 seconds LD: 70-100 u/kg no Glycoprotein IIb/IIIa Target ACT 250-300 seconds (HemoTec) or 300-350 seconds (Hemochron) LD: 60 u/kg after TPA/SK MAX 4000 units, then 12 u/kg/hr - Target aPTT 1.5-2.0 x control, MAX 48 hrs |
| Atrial Fibrillation: |
| ADULT: |
| Thromboembolism |
| BD(option 1): 10,0000 u then 5000-10,000 u/4-6 h BD(option2): 5000 u then 20,000-40,000/d |
| Cardioversion |
| BD: 80 u/kg, then MD: 18 u/kg/hr OR BD 5000 u, then MD 1000 u/hr |
| DIC: |
| ADULT: |
| LD (option 1): 10,000 u then 5000-10,000 q 4-6h LD (option2): 5000 u then 20,000-40,000/24 h |
| Hemodialysis: |
| ADULT: |
| LD: 25-30 u/kg then 1500-2000 u/hr |
| Heart Operation with ECC: |
| ADULT: |
| LD: 150-400 u/kg, usually 300 u/kg |
| Unstable Angina: |
| ADULT: |
| LD: 60 u/kg MAX 4000 u MD: 12 u/kg/hr - target aPTT 1.5-2.5 x control |
| Venous Thromboembolism Rx: |
| ADULT: |
BD(option 1): 10,0000 u then 5000-10,000 u/4-6 h |
| Cancer Dx: |
| BD: 80 u/kg, then MD: 18 u/kg/hr |
| Precuations |
| May contain Benzyl Alcohol Thrombocytopenia HIT DIC Pregnancy Severe HTN Menstration Surgery Heparin Resistance Infants < 10 kg (Dose error) Contraindication: HIT GIB Bleeding Disorder SAH SBE |
|
|
