Nursing Math: Heparin Drip and Heparin Titration

[@maj89ful]

Thank you for your effort .... just to clarify multiply unit or devide unit 10u/kg/hr when you multiply by wieght 68kg so the kg will be devided also .... so the answer will be 680u/hr only not per kg because they removed from both side kg/kg .... i hope i help

[@Sun2bee]

I cant tell you how many times you have helped me with nursing school and interviewing too. I wish I found your videos when I started nursing school! Starting dream job in ICU! Well done all around!

[@empowern]

+Shannon Cozadd Oh that's so sweet of you. Thanks for letting me know it means a lot. For sure you'll get there! aja! -xoxo

[@egee1010]

Great and informative video. I saw the titration once during clinical and I got so confused. It makes perfect sense now thanks. I did see one error though. When you multiple the patient's weight in kg with the order 12unit/kg/hr the kg cancel out and you're left with the order units/hr not units/kg/hr again.

[@empowern]

Awe thank you so much for letting me know that the video helped you!!! You are absolutely right, it should be units/hr :) I appreciate you notifying me!! Keep in touch & let me know if you need anything else!! Much Love, - Caroline

[@irishdamsel4214]

Thank you very much for this video! I had to re-take a dosage calc exam and I was nervous but your video and others on youtube helped to increase my confidence and I passed with 100%!

[@empowern]

***** Hi Irish! Congratulations for passing your exam!! We are all happy to help :) Looking forward to seeing you on here again soon! xoxo! - Caroline

[@MyUpMost4God]

Caroline thank you so much! You made it so clear! I so appreciate your work I haven't seen many new videos posted I hope that you start to post again. Your work is a breath of fresh air, a light, and an example. Keep shining brightly!

[@empowern]

Hi Donna! Thank you so much for the kind comment! I just started a new job at a cardio vascular ICU... it’s going to take some time, but I will be making some advanced videos in the future! Thanks so much for your support, God Bless you 😊

[@hannahdisney91]

I have been stressing over drug calculations for I can't remember how long. Math has already put me behind one semester. Your video is amazing and I can't wait to watch the others. Thank you for breaking it down into simpler terms and helping me to retain the information.

[@empowern]

Hannah Godfrey Hi Hannah! Thanks so much for letting me know that the videos have helped you :) I do have a bunch of other match videos.. here are the links: kzbin.info/www/bejne/aZ29lqKLZpZ6d8k kzbin.info/www/bejne/ZoLEf2R4q65mjM0 kzbin.info/www/bejne/oIXLdIx5rJ2kmbs If you have any questions, just post comments below any videos & I will get back to you asap :) Ok ttys!! xoxo - Caroline

[@risamiles6124]

Thank you Calorine. All of your video are very helpful. I just start my nursing career in America ( I was a nurse in my country long time ago) There are so many new thing that I need to learn.Very lucky that I found your channel. You are my life saver!!

[@empowern]

Hi Risa! Thank you so much for letting me know! I look forward to seeing you on here again soon! Much Love, - Caroline

[@kingstonrock3693]

You are a lifesaver. Thanks so much, because of you I'm way more comfortable with the mighty Heparin

[@FelixDeltaSig]

About to start my preceptorship in the ICU. Thank you so much for this video! Very helpful.

[@empowern]

+Felix Navarro Wow! I wish you all the best! You can do it! Thanks for letting me know it helped. -xoxo

[@nahim_skibidi]

thank

[@jaliskamclaughlin6395]

So detailed and quick. I appreciate teachers like you.

[@empowern]

Jaliska Mclaughlin Awe thanks Jaliska! I really appreciate it :) Hope to see you on here again soon!! xoxo - Caroline

[@omarmanalo6658]

This is a great video Caroline!!, also purchased your books very helpful to how to become a great learner while going to nursing school....

[@empowern]

Hi Omar! Thank you so much for letting me know that this video helped you!! It means a lot :) Also, thank you so much for letting me know that you are enjoying the book!! When you get a chance, could you do me a huge favor & give the book a rating on Amazon & Goodreads? It would mean a lot :) Really looking forward to seeing you again soon!! Much Love, - Caroline

[@mawawright8720]

Best explanation ever on heparin drip. Thank you so much

[@steffacation]

This is a great video to teach nursing students dosage calculation skills! However, dementional analysis would also allow you to remove the kg in the "Ordered Quantity" once the units per kg has been figured out. So the "Ordered Quantity" for each of the questions should actually be written as follows: 816 u/hr, 680 u/hr, & 952 u/hr. You didn't make any errors of course, but it would be easy to make a med error if it was written 816 u/kg/hr, as one could easily think it correct to incorporate the client's weight once again. With all that said, these kind of videos would have been a tremendous help for dosage calculation!

[@empowern]

Hi Steffa! It is really nice to hear from you! I'm really glad that you posted this! It is important to know that with dimensional analysis that there are multiple ways to come to the correct answer :) And anything to make is less confusing is good!! Thanks for sharing & I look forward to hearing from you again soon! Much Love, - Caroline

[@lilprmami19]

Very helpful video! I have a question regarding the APTT. When you received the lab results of the APTT of 38 and you were asked to increase it by +2 units wouldn't it jump up to 12 units per kg/hr not 14u? Since the previous formula you were using was 10 u/kg/hr? Thanks again!

[@rachelboyett2412]

I was wondering that myself

[@carolinadirty382]

Yes when you got the 16.?? Ml/hr on the initial calculation I was wondering why you just didn’t go down 2 from the 16 when the result came back at 90. At my hospital we don’t go back and start over from the initial dose and go down we titrate up or down from the current dose 🤔 does this happen frequently at other hospitals? Thanks 😊

[@carolinadirty382]

Which would have made it like 14

[@LaneLIpro]

Thankyou!!! Have an exam in an hour and was still a little unsure but this vid cleared it all up. Great video!!!

[@emilymadsen13]

Very interesting, very helpful, and easy to understand video! Thanks :)

[@____sej]

Can you also comment about the initial loading dose and maintenance dose? You went with 12u/kg/hr but the nomogram says 18 u/kg/hr?

[@adelineschaffer3722]

a big thumb up . thank you so much. i was so confused with hep drip until i watched your video

[@MsCache690]

Very helpful video! You explained it so simple to understand, thanks.!

[@empowern]

Thank you so much for letting me know :) Looking forward to seeing you again soon!! Much Love, - Caroline

[@MegR.N.]

Thanks! 3rd semester final is coming up and nervous there will be heparin math that they never taught us, but need to be responsible for. Just like figuring out any other math problem, except adding or subtracting the ordered dose by what the PTT is. Thanks for the video! :)

[@johnoconnor4741]

Meghan Krar insulin injections admin insulin by pen

[@dano670]

A simple way (short cut) to check your calculation of the changed amount is to take the original drip rate original drip rate of 16.32 mL/hr and dive it by 12 (as in the original 12 u/kg/hr) and then multiply it by 10 (as in the ammended drip rate) and you get 13.6 ml/hr. On the second example, you take 16.32 and divide it by 12 and multiply it by 14 and you get 19.04 ml/hr.

[@therealngjin]

I'm still confused. When I'm calculating Heparin, sometimes they say do in the way you do in your video. and if I follow that, they say it's wrong. you also have to consider the IV volume. And I even saw a book saying that you can use two ways to calculate this. #1. (12iu/kg X Body weight / 25000iu ) * 5ml. #2. (12iu/kg X Body weight / 25000iu ) * 250ml (if you mix the heparin with 250ml 5DW.) You know the answer will be totally different in this case. When should I care or not care about the total amount of fluid volume?! Please let me know! I'm been stressed out with this problem since no one knows the exact answer around me :'(

[@amandadetwiler]

Thanks for explaining this slowly and clearly!

[@Bianca-bb2ku]

thank you so much. I am a new nurse and needed this review.

[@jenniferreed1636]

When you multiply 12 x68....it becomes 816units/hr. Leave out the kg because you already did that math. Saying it 816u/kg/hr means you havent found out the unit/hr rate yet. Hope that helps

[@khadijehpoori315]

Finally i could understand this heparin Thanks to you

[@engelique1]

when calculating the infusion rate, shouldn't it be in whole numbers ?

[@TheOneThatGotAwayRMAPLS]

Wow you are GREAT NURSE/TEACHER.

[@empowern]

+Darrell Lottie, RMA Thank you! -xoxo

[@caribaez5711]

Nurses are teachers

[@LisiMiranda]

Thank you for doing this. I will be looking at your videos often.

[@billyclarin2771]

The formula that I usually use is DOSE x WT / Concentration. So if you have a bag with 25,000 units of heparin in 250 ml, the concentration would be 100units/ml. If you 25,000 units in 500 ml, the concentration would be 50 units/ml.

[@esmokems]

Great job in explaining this topic.

[@empowern]

Thank you so much for letting me know!! Looking forward to seeing you agin soon! Much Love, - Caroline

[@annymackinnon3692]

need a simple workable worksheet for managing heparin gtts with space for ptts and any changes

[@allyssabomb]

THANK YOU!! I always have a problem with heparin math, haha but you made it simple for me to get it. usually i get so confused and intimidated by the formula

[@oluchi_assumani]

you are the best!!!!!!

[@empowern]

+Ma Luchi Thank you. I really appreciate it. -xoxo

[@BlessedJojo]

Plssssssss do a video on calculating Dopamine, Dobutamine and Nitroprusside....I avoid an exam in 4wks.

[@pedro100092]

Thanks for this video, it means a lot for my, You didn't make any errors on you course, but it would be easy to make and error what should I do?

[@empowern]

Hi Neta! It is incredibly easy to make all kinds of errors, not only with this medication, but many more. As a nursing student, it is important to do many questions like this. I do have to tell you.... this is as hard as it gets... so at least you can remember that. As a nurse, when we are giving medications like this, it must be checked by another RN.... also, we place the information into an infusion pump, which also helps us check ourselves. So, if done right, it will be correct & safe :) I hope this helps!! Let me know if you need anything else!! Much Love, - Caroline

[@annaloveme89]

Great video!! Thank you!

[@empowern]

+Anna Nikitin thanks so much!

[@alexacecornell7324]

thank you for the explanation!

[@collettewilson5768]

awesome video keep up the good work

[@mafoune77]

Great video. Thanks.😊

[@empowern]

+mafoune77 You're welcome dear! I do hope this will help you out a ton. -xoxo

[@garyvogt2238]

Its not 816u / kg / h Its 816 u / hr

[@152gars]

Gary Vogt well observed. lady does not know dimensional analysis. She could easily kill patients with this type of mistake.

[@zhenzhenchen1452]

I WANT TO POINT THIS OUT TOO

[@lzalab2286]

She needs to cancel the kg 😀

[@EDUARDO12348]

Internal thought....(oohh Cute nurse!!.... I think I may have a fever :) jk great video

[@empowern]

EDUARDO12348 lol thanks!! See you soon!!

[@benjaminzaoui9683]

Pretty well explained, but in the future just don't round until the final answer is reached. The earlier and more often you round numbers, the less accurate your final answer will be. Also, you initially did not use the dimensional analysis technique to convert from lbs to kg. You should have multiplied the 12 units/kg/hr by 1 kg/2.2 lbs, yielding 5.4545... units/lbs/hr. Now you can just directly multiply by the patient's weight in pounds to get your dosage in units/hr. (I could add that we not act is if in the dark ages, and just use Système international d'unités, or (SI) units and stick to kg the whole way for clarity and to avoid conversion errors, but whatevs)

[@shadet541]

Thanks for making this video!

[@empowern]

Thank you so much for letting me know that you liked it! Looking forward to hearing from you again soon! Much Love, - Caroline

[@collettewilson5768]

this was a good lesson -- thanks

[@empowern]

collette wilson Hi Collette! Thanks so much for letting me know! I really appreciate it :) Please keep in touch!!

[@capricorneo6645]

This video is awesome 👏👏👏

[@empowern]

Thank you Bo!

[@caribaez5711]

Nursing calculations are very hard. 😭 I need to get an A in this chapter about heparin. So I then there are finals. I instead want to be an occupational therapist. It’s similar to nursing assistant just more like physical therapist. OT is so awesome.. a RN is more like a physician

[@marcyvalliant2446]

Was very helpful !!!!

[@empowern]

Marcy Valliant Hi Marcy! Thank you so much for letting me know!! Looking forward to seeing you on here again soon! Much Love, - Caroline

[@marcyvalliant2446]

I may need your help again soon .

[@1956magdy]

it is more easy to know how many units of heparin in one ml after dilution in 500ml so we can divide 25000/500=50units per ml and we want to known how many ml contains 816 units so we divide 816/50 = 16.3 ml

[@chrismelz4219]

thanks a lot

[@empowern]

+Chris Melz You are so welcome. -xoxo

[@nizelady]

Thanks, really helpful. :)

[@empowern]

Irene sanchez You are welcome! Thanks so much for letting me know you liked it ;) xoxo!

[@taniaaly]

Caroline 👍👍👍

[@taikemosabe]

If the order is 40 u/kg and the patient weighs 68 kg the ordered dosage is: 40 u/kg x68 kg= 2720 u.

[@826jb]

Thanks

[@hopentagana3413]

Thank you so much😁you are a 💫

[@Alwayssakuratondo]

Thanks😍

[@jerilyngottshall1157]

haha the closed captions are a little off

[@runasimiforum2387]

I love this girl

[@maryammugauan4916]

You're in 10u/kg/hr.Why did u go back to initial rate? You should be adding 2 u/kg/hr in 10 u/kg/hr.

[@Aliyahmorris9426]

Right ?? I would like to know if you have to go back to the initial dose or go from where you are

[@BackToNature2010]

That was great I got it

[@blackl1steddrums]

Cannot focus.

[@Kanona80]

It’s not 816u/kg/hr it’s just 816 per hour period. if it’s 12u/kg/hour and you put in the Kg already and multiplied then you have your total units that will go over an hour so rewriting it the way you did 816/kg/hour you just now made it appear that you have to give 816units per Kg. This will confuse people. You don’t need to rewrite it in that format after you have your total units. Dimensional analysis is annoying anyway this is basic algebra just solve for x people no need to rethink all your math formulas 🤷🏻‍♀️

[@5150medic1]

476,00.../25000 ?

[@raulneri6380]

Beauty and brains.....

[@shannonsaymaz8383]

You need to be a nursing instructor!

[@eagle7757]

For God so loved the world, that he gave his only begotten Son, that whosoever believeth in him should not perish, but have everlasting life. John 3:16 KJV, Jesus Christ is the only way........

[@jasongonzales7699]

Horrible