This protocol is suitable for patients with or suspeced of stroke.
No initial bolus or adjustment bolus for stroke.
Initial dose is 12 units/kg/hour to a maximum of 1000 units/hr.
Subsequent goal aPTT is 53-71 seconds or heparin anti-Xa 0.2-0.5 units/ml.
The first aPTT is obtained 6 hours after initial infusion is started.
Once 2 consecutive aPTTs are between 53-71 seconds, repeat aPTT in am daily.
Notify physician for 2 consecutive aPTTs < 53 or > 71 seconds.
Click here to view the Heparin Stroke Procedure.