Heparin and PTT Monitoring

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Questions and Answers

The health care provider prescribes an infusion of heparin and daily partial thromboplastin time (PTT) testing for a patient. Which action should the nurse include in the plan of care?

  • Obtain a Doppler for monitoring bilateral pedal pulses.
  • Avoid giving IM medications to prevent localized bleeding.
  • Have vitamin K available in case reversal of the heparin is needed.
  • Decrease the infusion when the PTT value is 65 seconds. (correct)

Flashcards

Heparin & PTT Monitoring

Heparin is an anticoagulant that prevents blood clots. PTT (Partial Thromboplastin Time) is a blood test that measures how long it takes for blood to clot. The normal PTT range is typically 25-35 seconds. If the PTT value is too high (e.g., 65 seconds), it indicates that the blood is taking too long to clot, increasing the risk of bleeding.

IM Injections & Anticoagulants

Avoid administering intramuscular (IM) injections to prevent localized bleeding and hematoma formation, especially in patients receiving heparin therapy due to its anticoagulant effects.

Heparin antidote

Vitamin K is the antidote for heparin. Having vitamin K available ensures prompt reversal of heparin's effects if needed due to bleeding or other complications.

Study Notes

  • The healthcare provider prescribed heparin infusion and daily partial thromboplastin time (PTT) to a patient

  • What action should the nurse include in the care plan?

  • Possible answers: A-D

  • Decrease the infusion when the PTT value is 65 seconds.

  • Avoid giving IM medications to prevent localized bleeding.

  • Obtain a Doppler for monitoring bilateral pedal pulses.

  • Have vitamin K available in case reversal of the heparin is needed.

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