RN ADULT MEDICAL SURGICAL 2019 PROCTOR

REMEDIATION

ANTICOAGULANT

SHEPARINS

- Therapeutic uses:stroke; PE; DVT; prophylaxisfor post-op venousthrombosis; treatment of DIC

- Heparin toxicity: admin PROTAMINE slowly IV no faster than 20 mg/min or 50 mg in 10 min; do

not exceed 100 mg in 2hr; prevent protamine toxicity

- Hemorrhage secondary to heparin toxicity: monitor vitals; observe for bleeding (increased HR;

decreased BP, bruising, petechiae, hematomas, black tarry stools); monitor aPTT ...
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