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2024 Competency Challenge!

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    Heparin Infusion
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  • Other than a baseline PT/INR and PTT, what other baseline lab must be ordered prior to Heparin Infusion initiation?
    CBC
  •  10
  • Heparin will be dosed based on the patient's weight in ____.
    Kilograms
  •  5
  • Routine platelet levels should be ordered how frequently while a patient is on a continuous Heparin Infusion?
    Every 3 days
  •  15
  • How often should a stool for guaiac be assessed while a Veteran is on a continuous Heparin Infusion?
    Daily
  •  15
  • For a patient with a DEEP VEIN THROMBUS (DVT) Heparin indication, what is the initial loading dose of Heparin?
    80 units/kg
  •  15
  • What is the max dose for initial loading doses of Heparin?
    5000 units
  •  10
  • How frequently must we repeat the PTT levels (assuming non-therapeutic levels)?
    Every 6 hours
  •  5
  • For patients with a PERIPHERAL ARTERIAL DISEASE indication, the dosing for initial loading dose is ____units/kg.
    70 units/kg
  •  15
  • Both DVT and PE maintenance Heparin Infusions have a maximum rate of _____ units/hr.
    1300 units/hr
  •  15
  • CARDIOLOGY indications for Heparin maintenance infusion is ____ units/kg/hr to a maximum initial infusion rate of 1000 units/hr.
    12 units/kg/hr
  •  15
  • How many licensed nurses does it take to confirm a Heparin Infusion dose adjustment?
    2, one of which must be an RN
  •  5
  • What is the standard concentration for a Heparin infusion? (eg. _____ units/_____ mL)
    25,000units/250mL; (100 units/mL)
  •  10
  • After how many consecutive therapeutic PTT results can you change the frequency of repeat labs?
    2 consecutive therapeutic PTT levels
  •  5
  • True or False: As a normal practice, we should temporarily pause the Heparin Infusion while collecting repeat labs.
    False
  •  5
  • True or False: if using a Central Venous Catheter for lab collection, the push/pull method should be used.
    True
  •  5