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2024 Competency Challenge!
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After how many consecutive therapeutic PTT results can you change the frequency of repeat labs?
2 consecutive therapeutic PTT levels
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How often should a stool for guaiac be assessed while a Veteran is on a continuous Heparin Infusion?
Daily
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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
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What is the max dose for initial loading doses of Heparin?
5000 units
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What is the standard concentration for a Heparin infusion? (eg. _____ units/_____ mL)
25,000units/250mL; (100 units/mL)
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True or False: As a normal practice, we should temporarily pause the Heparin Infusion while collecting repeat labs.
False
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Heparin will be dosed based on the patient's weight in ____.
Kilograms
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For patients with a PERIPHERAL ARTERIAL DISEASE indication, the dosing for initial loading dose is ____units/kg.
70 units/kg
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How many licensed nurses does it take to confirm a Heparin Infusion dose adjustment?
2, one of which must be an RN
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How frequently must we repeat the PTT levels (assuming non-therapeutic levels)?
Every 6 hours
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Both DVT and PE maintenance Heparin Infusions have a maximum rate of _____ units/hr.
1300 units/hr
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True or False: if using a Central Venous Catheter for lab collection, the push/pull method should be used.
True
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Routine platelet levels should be ordered how frequently while a patient is on a continuous Heparin Infusion?
Every 3 days
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For a patient with a DEEP VEIN THROMBUS (DVT) Heparin indication, what is the initial loading dose of Heparin?
80 units/kg
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CARDIOLOGY indications for Heparin maintenance infusion is ____ units/kg/hr to a maximum initial infusion rate of 1000 units/hr.
12 units/kg/hr
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