This protocol is for patients post-bioprosthetic valve.
No initial bolus.
Initial dose is 12 units/kg/hour to a maximum of 1,000 units/hr, calculated in Epic.
Subsequent goal aPTT is 40-60 seconds.
The first aPTT is obtained 6 hours after initial infusion is started.
Once 2 consecutive aPTTs are between 40-60 seconds, repeat aPTT in am daily.
Notify physician for 2 consecutive aPTTs < 40 or > 60 seconds.
Click here to view the Heparin Bioprosthetic Valve Protocol.