What should you assess before giving heparin?

What should you assess before giving heparin?

Prior to initiating heparin therapy, baseline labs should be drawn including: hemoglobin, hematocrit, platelet count, aPTT, and PT. The standard laboratory test to monitor therapeutic levels of LMWH is the chromogenic anti-Xa heparin assay.

What is combivent Nebule used for?

Combivent (ipratropium bromide and albuterol sulfate) is an inhaler that is a combination of an anticholinergic bronchodilator and a selective beta2-adrenergic bronchodilator used to treat and prevent symptoms (wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD …

Why is ipratropium combined with albuterol?

Albuterol and ipratropium are in a class of medications called bronchodilators. Albuterol and ipratropium combination works by relaxing and opening the air passages to the lungs to make breathing easier.

Does Combivent have steroids in it?

Is Combivent Respimat (ipratropium / albuterol) a steroid? No. Combivent Respimat (ipratropium / albuterol) contains two medications that help relax and open up the airways in your lungs. It works differently from steroids, which help to reduce inflammation (swelling) in the lungs.

How many times a day can you use Combivent?

The recommended dose is 1 inhalation 4 times a day. How does COMBIVENT RESPIMAT work? COMBIVENT RESPIMAT relaxes the muscles in your airways to help open them. And when used 4 times a day, every day, it helps keep them open.

When to notify a physician about heparin use?

Notify physician or nursing staff immediately if these signs occur. Assess for signs of bleeding and hemorrhage, including bleeding gums, nosebleeds, unusual bruising, black/tarry stools, hematuria, and fall in hematocrit or blood pressure. Notify physician or nursing staff immediately if heparin causes excessive anticoagulation.

How often can you inhale Duoneb with Combivent Respimat?

6 inhalations/day for Combivent Respimat inhalation spray; one 3-mL vial of DuoNeb administered 6 times/day via nebulization. Adolescents. Safe and effective use of Combivent Respimat inhalation spray not established; one 3-mL vial per dose of nebulizer solution (e.g., DuoNeb) nebulization has been used off-label.

What should the aPTT be for heparin injections?

Physical: Peripheral perfusion, R, stool guaiac test, PTT or other tests of blood coagulation, platelet count, renal function tests Adjust dose according to coagulation test results performed just before injection (30 min before each intermittent dose or q 4–6 hr if continuous IV dose). Therapeutic range aPTT: 1.5–2.5 times control.

How many units of heparin per 24 hr infusion?

Initial IV bolus of 50 units/kg and then 100 units/kg IV q 4 hr, or 20,000 units/m 2 per 24 hr by continuous IV infusion. Heparin increases the inhibitory action of antithrombin III (AT III) on clotting factors XIIa, XIa, IXa, Xa and thrombin.

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