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Heparin Dosing Calculator -Detroit VAMC
Heparin Dosing Calculator -Detroit VAMC
Heparin nomogram and dosing calculator
Patient
:
Location
:
Male
Female
Weight
:
Kg
Lbs
Height
:
Inches
Cm
Select desired weight preference based on local protocol
Use Total Body Weight in ALL cases
Use Adjusted body weight if > 30% over IBW
Select Protocol
--- DVT / PE - Standard Raschke nomogram
--- DVT/PE with RISK FACTORS eg advanced age (Modify below)
--- ACS: UA / NSTEMI
--- Post Myocardial infarction thrombolysis
Standard Infusion Bag
Standard infusion bag: 25000 units/ 250 ml
DVT /PE Guidelines
If DVT/PE with risk factors was chosen, please specify dosing guidelines
Initial Load
:
units/kg
Initial Rate
:
units/kg/hr
Safety option: Modify if necessary- Used for DVT/PE if selected.
Use Limits Listed Below
Do Not Place Limits on Initial Doses
Limit the maximum initial bolus to:
units
Limit the maximum initial infusion rate to:
units/hr
Unstable angina / NSTEMI Guidelines
IF
UA / NSTEMI selected above, Fill in the section below.
UA / NSTEMI Limits
:
Initial Load
:
units/kg
Initial Rate
:
units/kg/hr
Max initial bolus
:
units.
Max initial infusion rate
:
units/hr
In general, weight based nomograms are much more likely to achieve therapeutic levels within 48 hours. It is important to note that the most critical factor in reducing the risk of recurrent thromboembolism is reaching a therapeutic PTT within 24-48 hours. Traditional regimens that normally begin with 1000 u/hr are less likely to achieve this goal.
Warfarin
Warfarin Dosing Calc - Multiple nomograms
Warfarin Dose Estimation Calc
Warfarin maintenance Dose consult tool
Warfarin Inpt Nomogram and Dose Estimation