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patient has been admitted to the hospital for a scheduled below the knee amputation the next day. The patient is to receive 5,000 units of heparin subcutaneously prior to surgery and will be on intravenous heparin for a period of time after surgery. The patient weighs 165 lb. (25 points each)

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  • How will the nurse administer the subcutaneous heparin? Include syringe type and technique for administering subcutaneous heparin and any teaching.
  • After the patient has been on heparin for 24 hours, the nurse will obtain what lab test for evaluation of heparin therapy, and what is the expected therapeutic range? What if the patient is outside of the therapeutic range?
  • What is the most serious potential side effect of heparin therapy, and how will the nurse assess for this? Include minimum of 4 assessment items.
  • Following surgery, the patient has an order to receive IV heparin. Available: IV heparin 25,000 units in 1,000 mL D5-1/2 NS. Order: Give IV bolus of heparin at 80 units/kg, then initiate drip at 18 units/kg/hour.
    • What does the patient weigh in kg?
    • How many units will the nurse administer for the bolus?
    • How many units will the nurse administer for the drip (infusion rate)?
    • How many mL/hr will the nurse set the infusion device to administer the infusion rate? Get Nursing Help Today

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