Name___________________ Date__________

NWACC Nursing Program

NURS 9316 Adult II
Heparin Drip Assessment

The health care provider orders Heparin by protocol. As a bolus, you are to give
70units/kg. A continuous infusion is to be 15 units/kg/hr. The client weighs 46kg.
Pharmacy sends a vial of Heparin 10,000 units/mL to use for the bolus.

1. _3200______units given as bolus (round to nearest 100 units)

3200(what is ordered) X 1ml=0.32ml

10,000 (what you have)

2. __0.32____mL’s to be administered as a bolus (round to nearest hundredth)

Following the bolus you are ordered to begin Heparin as a continuous infusion. Order is to
infuse the drip at 15 units/kg. Pharmacy sends Heparin 25,000 units mixed in 250 mL of ½ NS.
The client weighs 46 kg.

3. _7__mL/hr

Six hours later the PTT is 58. According to the following protocol, what adjustments
would you make?

If PTT is:

Less than 40 give 2,000 unit bolus and increase by 200u/hr

40-49 give 1,000 unit bolus and increase by 100u/hr
50-59 increase by 100 units/hr
60-80 no change
81-100 decrease by 100 units/hr
> 100 stop for 1 hr. then decrease by 100 units/hr

4._______0______units of Heparin to be given as a bolus

5._____8______mL/hr for new infusion

1
The HCP orders a Heparin Drip using hospital protocol. As a bolus, you are to give
70units/kg to a client who weighs 88kg. The pharmacy provides you a vial of Heparin
10,000 units/mL to use for the bolus.

1.____6,200_____ units given as bolus (round to the nearest 100 units)

2. 0.62 mL administered or 0.6 ml

Following the bolus you are ordered to begin Heparin as a continuous infusion. You are to
infuse the drip at 15 units/kg/hr. There are 25,000 units of Heparin mixed in 250 mL of NS. The
client weighs 88 kg.

3._____1,300______Units/hr (round to the nearest 100 units)

4.___13________mL/hr infusion

*In 6 hours the PTT is 34 - (Using the above PTT protocol)

5.__2,000___units of Heparin to give as a bolus

6._____15___mL/hr for infusion rate

The HCP orders your client to be placed on a Heparin Drip using hospital protocol. As a
bolus, you are to give 70units/kg to a client who weighs 78 kg. The pharmacy provides a
vial of Heparin 10,000 units/mL to use for the bolus. How much will you give?

1.__5,500______units given as a bolus (round to nearest 100 units)

2.___0.55_______Total mL’s to be administered as a bolus

2
Following the bolus you are ordered to begin Heparin as continuous infusion. You are to infuse
the drip at 15 units/kg/hr. Available is Heparin 25,000 units mixed in 250 mL of NS. The patient
weighs 78 kg. (Round to the nearest 100 units)

3.____1,200______units/hr

4.___12_______mL/hr of infusion

Using same PTT protocol as above – PTT is 44

5.__1000____units of Heparin to be given as a bolus.

6.___13______mL/hr for new infusion rate

IV pump is set at 15mL/hr. There is Heparin 25,000units mixed in 500mL of D5W hanging. How
many units/hr is infusing?

__800____units/hr

IV pump is set at 10mL/hr. There is Heparin 50,000units mixed in 250mL of D5W hanging. How
many units/hr is infusing?

1.____2,000______units/hr