hard · NCLEX-RN Pharmacological and Parenteral Therapies
### TAB: MAR Heparin Sodium 25,000 units in 0.45% Sodium Chloride 250 mL. Current rate: 1,200 units/hr (12 mL/hr). ### TAB: Laboratory Results * 0800: aPTT 42 seconds * 1400: aPTT 48 seconds * 2000: aPTT 40 seconds (Facility Reference Range: 30-40 seconds; Therapeutic Target: 60-80 seconds). ### TAB: Facility Protocol * aPTT < 45 seconds: Increase rate by 2 units/kg/hr; Repeat aPTT in 6 hr. * aPTT 45-59 seconds: Increase rate by 1 unit/kg/hr; Repeat aPTT in 6 hr. * aPTT 60-80 seconds: No change; Repeat aPTT in 24 hr. * Client weight: 80 kg.
The nurse evaluates the trends in the MAR and Lab Results. Select the appropriate action for each titration parameter.
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