Heparin

Front 1

What is heparin?

Back 1

An anticoagulant

Front 2

heparin must be give by which route?

Back 2

IV

Front 3

For the pt on heparin, the nurse should monitor for......?

Back 3

Platelet count
Vitals

Front 4

In case of heparin overdose, the nurse should administer _______.

Back 4

Protamine sulfate

Front 5

What is heparin-induced thrombocytopenia?

Back 5

Low platelets as a result of heparin administration.

Front 6

The nurse should stop heparin if platelet count is less than ___________

Back 6

100,000/mm3

Front 7

In case of toxicity/OD, what should the nurse do?

Back 7

Administer protamine sulfate IV bolus

Front 8

What does protamine sulfate do?

Back 8

Binds with heparin to form hep/protamine complex.

hep/prot complex has no anticoag properties

Front 9

How is protamine sulfate administered?

Back 9

Slowly by IV bolus
No faster than 20 mg/min OR 50 mg/min in ten minutes

Front 10

Do not administer heparin (anticoags) ______________________.

Back 10

During or following surgeries of the:
Eye
Brain
Spinal Cord
Lumbar Puncture
Regional anesthesia

Front 11

Heparin (coags) can be safely used with NSAIDs and aspirin. T or F

Back 11

FALSE.

NSAIDS are antiplatelets. May increase bleeding.

Front 12

For subQ, how do you administer heparin (anticoags)?

Back 12

Use 20-22 gauge needle to withdraw meds.

Use 25-26 needle to insert

Chck w/other nurse

Front 13

For deep subq injections, insert in ______ about ______ away from umbilicus

Back 13

Abdomen
2 inches

(apply pressure; no aspirating)

Front 14

For Heparin what must be monitored?

Back 14

aPTT levels q4-6 hrs until dose appropriate.
(60-80 seconds desired)

Monitored daily

Front 15

How do anticoagulants (iv) work?

Back 15

inactivating thrombin and other clotting factors required for a clot to form;

Front 16

What other anticoagulants are there?

Back 16

LMWH
- enoxaparin (lovenox)
- dalteparin (fragmin)
- Tinzaparin (innohep)

Activating Factor Inhibitor
- Fondaparinux (arixtra)