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CCRN Critical Care Nursing

Category - Adult

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A patient receiving continuous intravenous heparin for bilateral deep vein thrombosis has an Activated Partial Thromboplastin Time (APTT) 1.4 times the normal value. What would be the next nursing intervention?

Increase the heparin according to the protocol.
Decrease the heparin level according to the protocol.
Repeat the activated partial thromboplastin time in 6 hours.
Call the doctor to obtain an order to begin oral anticoagulation.

Explanation

Answer: A - The next nursing intervention would be to increase the heparin drip according to the hospital policy. The goal for heparin therapy is for the activated partial thromboplastin time by 1.5 to 2 times the normal level.

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CCRN Critical Care Nursing

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