Deck 11: Anticoagulants

Question 1

What medication should be available for patients who are on heparin therapy?

Answer 1

Protamine sulfate, which is used to counteract the effects of heparin.

Question 2

Directions: Answer the question and fill in the correct amount of heparin on the syringe.


-Ordered: Heparin 1500 units per hour
Available: 500 mL in D₅W with 25,000 units of heparin

Answer 2

6 hours and 36 minutes
Know Want to know
1500 units : 1 hr :: 25,000 units : x hr
15x = 1 x 250 = 250
x = 16.6 hr = (0.6 *60 = 36) = 6 hr 36 minutes to infuse
Proof: 1 *250 = 250
15* 16.6 = 249

Question 3

Directions: Answer the question and fill in the correct amount of heparin on the syringe.


-Ordered: Heparin 800 units per hour
Available: 1000 mL D₅W with 10,000 units of heparin

Answer 3

12 hours and 30 minutes
Know Want to know
800 units : 1hr :: 10,000 units : x hr
8x = 1 * 10 = 10
8x = 10
x = 12.5hr = 12 hr 30 min to infuse
Proof: 1 * 100 = 100
8 * 12.5 = 100

Question 4

Directions: Answer the question and fill in the correct amount of heparin on the syringe.


-Ordered: Heparin 800 units per hour
Available: 250 mL D₅W with 15,000 units of heparin

Question 5

The subcutaneous dosage of heparin should not exceed how many units?

Question 6

Directions: Answer the question and fill in the correct amount of heparin on the syringe.


-Ordered: 500 mL with 25,000 units of heparin to infuse at 50 mL per hour

Question 7

Anticoagulants would be prescribed for what conditions?

Question 8

Directions: Answer the question and fill in the correct amount of heparin on the syringe.


-Ordered: 2500 units of heparin per hour
Available: 500 mL D5W with 20,000 units of heparin

Question 9

Directions: Answer the question and fill in the correct amount of heparin on the syringe.


-Ordered: 500 mL with 10,000 units of heparin to infuse at 100 mL per hour

Question 10

Directions: Answer the question and fill in the correct amount of heparin on the syringe.


-Ordered: 1000 mL with 25,000 units of heparin to run at 120 mL per hour

Question 11

Directions: Answer the question and fill in the correct amount of heparin on the syringe.


-Ordered: Infuse 250 mL with 25,000 units of heparin at 25 mL per hour

Question 12

Directions: Answer the question and fill in the correct amount of heparin on the syringe.


-Ordered: 1000 units heparin per hour
Available: 1000 mL with 25,000 units of heparin

Question 13

Ordered: 50 units per kg per hr heparin IV. The patient weighs 75 kg.
How many units per hr should the patient receive?

Question 14

Directions: Answer the question and fill in the correct amount of heparin on the syringe.


-Ordered: Heparin 1200 units per hour
Available: 1000 mL of D₅W with 25,000 units of heparin

Question 15

Why should the subcutaneous injection site of heparin, Lovenox, or Fragmin not be rubbed after injection?

Question 16

Directions: Answer the question and fill in the correct amount of heparin on the syringe.


-Ordered: 250 mL with 15,000 units of heparin to infuse at 50 mL per hour

Question 17

Why are anticoagulants and insulin sometimes confused?

Question 18

How are low molecular anticoagulants (Lovenox and Fragmin) different from heparin?

Question 19

In what area of the body should Lovenox and Fragmin be given?

Question 20

Directions: Answer the question and fill in the correct amount of heparin on the syringe.


-Ordered: 3000 units of heparin per hour
Available: 1000 mL D₅W with 25,000 units of heparin

Question 21

Ordered: Heparin 800 units per hour
Available: 500 mL D₅W with 25,000 units of heparin
What rate will you set the electronic infusion device?

Question 22

Directions: Answer the question and fill in the correct amount of heparin on the syringe.


-Ordered: 40 units per kg. Patient weight is 250 lb.
How many units will the patient receive?

Question 23

Directions: Answer the question and fill in the correct amount of heparin on the syringe.


-Ordered: 100 units per kg of heparin. Patient weight is 130 kg.
a. How many units of heparin will the patient receive?

Question 24

Order: The loading dose of heparin is 80 units per kg. Patient weight is 120 kg. Follow the loading dose with 500 mL D₅W with 25,000 units of heparin. Titrate to infuse at 1200 units per hour.
a. How many units is the loading dose?
b. How many mL per hour will you set the electronic infusion device?

Question 25

Directions: Answer the question and fill in the correct amount of heparin on the syringe.


-Ordered: 250 mL with 10,000 units to infuse at 60 mL per hour

Question 26

Directions: Answer the question and fill in the correct amount of heparin on the syringe.


-Ordered: 250 mL with 10,000 units of heparin to infuse at 100 mL per hour

Question 27

Directions: Answer the question and fill in the correct amount of heparin on the syringe.


-Ordered: A loading dose of heparin to infuse at 75 units per kg. The patient weighs 120 kg.
Available: 500 mL D₅W with 15,000 units of heparin. Titrate to infuse at 1000 units per hour.
a. Calculate the units needed for the loading dose
b. Calculate the mL per hour to set the electronic infusion device

Question 28

The bolus dose of heparin is 60 units per kg. Patient weight is 185 lb.
What is the bolus dose?

Question 29

Directions: Answer the question and fill in the correct amount of heparin on the syringe.


-Ordered: 500 mL with 20,000 units to infuse at 100 mL per hour

Question 30

Directions: Answer the question and fill in the correct amount of heparin on the syringe.


-Ordered: 80 units per kg of heparin. Patient weight is 185 lb.
Available: 500 mL with 25,000 units of heparin
a. How many units of heparin will the patient receive?
b. What rate will you set the electronic infusion device?

Question 31

Directions: Answer the question and fill in the correct amount of heparin on the syringe.


-Ordered: 1000 mL with 25,000 units to infuse at 100 mL per hour

Question 32

Directions: Answer the question and fill in the correct amount of heparin on the syringe.


-Ordered: 20 units per kg. Patient weight is 90 kg.
How many units will the patient receive?

Question 33

Directions: Answer the question and fill in the correct amount of heparin on the syringe.


-Ordered: 25 units per kg. Patient weight is 105 kg.
How many units will the patient receive?

Question 34

Ordered: 25,000 units of heparin in 250 mL D₅W to infuse at 2000 units per hour.
What rate will you set the electronic infusion device?

Question 35

Directions: Answer the question and fill in the correct amount of heparin on the syringe.


-Ordered: 500 mL with 15,000 units to infuse at 120 mL per hour