Heparinization Flashcards
Two sources of Heparin
beef lung and pork intestinal mucosa; The porcine (pork) derivative is more potent than the beef lung heparin.
Drugs that enhances heparin
aspirin
nonsteroidal anti-inflammatory agents (NSAIDS)
dextran
Drugs that decreases heparin effect
nicotine
cardiac glycosides
quinine
tetracycline
Commonly used heparin concentration for dialysis?
1000u/ml
What is Regional Heparinization?
the continual infusion of heparin via the arterial line with
a concurrent infusion of an antidote into the venous line before the blood is infused back into the patient.
Major disadvantages of regional heparinization?
numerous laboratory tests are required to assess the clotting time and calcium levels
What is Tight Heparinization?
also known to as low-dose heparinization, refers to the
technique of heparin administration in which the dosage is determined by frequent clotting times in order to maintain a clotting time of 90-120 seconds by ACT.
Heparin free HD?
> done without the use of an anticoagulant is the therapy of choice for patients with an increased risk of bleeding, pericarditis, coagulopathy, or thrombocytopenia.
rinsed with 100-200 mL of saline as frequently as every 15 minutes up to once every hour, through the arterial line, and is inspected for clotting