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. _______units given as bolus (round to nearest 100 units)

2. _________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. _______mL/hr (round to whole number)

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._____________units of Heparin to be given as a bolus

5.___________mL/hr for new infusion (round to whole number)

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.____________ units given as bolus (round to the nearest 100 units)

2.___________mL administered (round to nearest hundredth)

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.___________Units/hr (round to the nearest 100 units)

4.___________mL/hr infusion (round to whole number)

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

5.________units of Heparin to give as a bolus

6.__________mL/hr for infusion rate (round to whole number)

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.___________units given as a bolus (round to nearest 100 units)

2.__________Total mL’s to be administered as a bolus (round to nearest hundredth)

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.__________units/hr

4.__________mL/hr of infusion (round to whole number)

Using same PTT protocol as above – PTT is 44

5.__________units of Heparin to be given as a bolus

6.__________mL/hr for new infusion rate (round to whole number)

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

______units/hr (round to nearest 100 units)

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.__________units/hr (round to nearest 100 units)