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NEW NEURO/CARDIO aPTT TARGET RANGE & NOMOGRAM EFFECTIVE TUESDAY MAY 26 TH 2009 AT MIDNIGHT.

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Presentation on theme: "NEW NEURO/CARDIO aPTT TARGET RANGE & NOMOGRAM EFFECTIVE TUESDAY MAY 26 TH 2009 AT MIDNIGHT."— Presentation transcript:

1 NEW NEURO/CARDIO aPTT TARGET RANGE & NOMOGRAM EFFECTIVE TUESDAY MAY 26 TH 2009 AT MIDNIGHT

2 The Hematology Lab is installing new equipment to measure aPTTs. The new equipment will affect SBUMC aPTT values. This change will impact the Neuro/Cardio IV Heparin Protocol Target Range. Currently the target range for aPTT is 50-75 sec. The NEW Target Range for Neuro/Cardio is aPTT 60-85 sec. The DVT/PE Heparin Protocol WILL NOT CHANGE. Target aPTT will remain 65-90 sec. for DVT/PE Cont. to use current forms for DVT/PE

3 What Will Change Heparin Neuro/Cardio Flow Sheet Nomogram (New Flow Sheets required) IV Heparin Neuro/Cardio Order Set Nomogram ( New Order Sets required for EPR downtime ordering ) EPR: Neuro/Cardio Heparin Nomogram aPTT (seconds) Special InstructionsInfusionNext aPTT < 43 Draw STAT aPTT < 43 (confirmed) * Rebolus with full bolus as calculated above Increase rate by100 units/hr 6 hrs 43-59 Rebolus with half the bolus calculated above (max 2500 units) Increase rate by 50 units/hr 6 hrs 60-85 No change Next AM 86-100 Decrease rate by 50 units/hr 6 hrs 101-130 Decrease rate by 100 units/hr 6 hrs 131-160 Hold infusion 1 hour and inform MD Decrease rate by 150 units/hr 6 hrs 161-190 Hold infusion 1 hour and inform MD Decrease rate by 200 units/hr 6 hrs > 190 Hold infusion 11/2 hour and inform MD Decrease rate by 200 units/hr 6 hrs

4 What you need to do on your Unit Remove all current IV Heparin Neuro/Cardio Order Sheets (dated 6/08) and Infusion Flow Sheets (dated 10/08) Replace with New IV Heparin Neuro/Cardio Order Sheets and Infusion Flow Sheets ----They will be printed in PINK for easy identification. aPTT target range will be 60-85 sec. Train/Notify Staff:  New Target aPTT range of 60-85 sec.  Use only PINK IV Heparin Neuro/Cardio Flow Sheets  Use only PINK IV Heparin Neuro/Cardio Order Sheets ( for EPR downtimes)  DVT/PE IV Heparin Protocol will NOT CHANGE!! Continue to use current forms  Change will take effect on Tuesday May 26 th at MIDNIGHT

5 THINK PINK THINK PINK FOR NERURO/CARDIO IV HEPARIN FLOWSHEETS & ORDER FORMS Denise Westman, RN, Lynn Hatta, RN


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