Heparin Sodium | Norepinephrine by Shantal Marie Medrozo https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v Drug study en-us 2021-09-13 11:42:04 UTC 2023-03-03 04:35:34 UTC hello@padlet.com medrozoshantalmarie https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735768031 Generic name: Heparin
Brand name: Hepalean (CAN)]]> 2021-09-13 11:48:50 UTC https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735768031 medrozoshantalmarie https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735776251 Dosages :
ADULTS
- Subcutaneous (deep subcutaneous injection)
  • For general anticoagulation: IV loading dose of 5,000 units and then 10,000–20,000 units subcutaneously followed by 8,000–10,000 units q 8 hr or 15,000–20,000 units q 12 hr.
IV
  • Intermittent IV: Initial dose of 10,000 units and then 5,000–10,000 units q 4–6 hr.
]]> 2021-09-13 11:53:01 UTC https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735776251 medrozoshantalmarie https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735779341 Classification 
  • Anticoagulants , Cardiovascular
]]> 2021-09-13 11:54:43 UTC https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735779341 medrozoshantalmarie https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735780873 Mechanism of Action 
  • It produces its major anticoagulant effect by inactivating thrombin and activated factor X (factor Xa) through an antithrombin (AT)-dependent mechanism.
]]> 2021-09-13 11:55:22 UTC https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735780873 medrozoshantalmarie https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735782562 Indication/s 
​​Heparin sodium is used to treat the following conditions:
  • Treatment of consumptive coagulopathies (disseminated intravascular coagulation) in both acute and chronic forms.
  • Thrombosis prevention in vascular and cardiac surgery
  • Anticoagulant usage in blood transfusions, extracorporeal circulation, and dialysis treatments; prevention and treatment of peripheral artery embolism.
]]> 2021-09-13 11:56:12 UTC https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735782562 medrozoshantalmarie https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735783684 Contraindications
  • Patients with hypersensitivity to the drug, past or present heparin-induced thrombocytopenia and active bleeding.
]]> 2021-09-13 11:56:47 UTC https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735783684 medrozoshantalmarie https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735784550  Side Effects and Adverse Effects 
  • Easy bleeding and bruising
  • Discomfort, redness, warmth, irritation, or skin changes where the drug was injected
  • Itching of your feet; or bluish-colored skin are all common Heparin side effects.
  • Heparin's adverse effects include thrombocytopenia, heparin-induced thrombocytopenia (HIT), and heparin-induced thrombocytopenia and thrombosis (HITT).
]]> 2021-09-13 11:57:15 UTC https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735784550 medrozoshantalmarie https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735786510 Nursing Responsibilities
  • Always check compatibilities with other IV solutions.
  • Give deep subcutaneous injections; do not give heparin by IM injection.
  • Check for signs of bleeding; monitor blood tests.
  • Alert all health care providers of heparin use.
  • Have protamine sulfate (heparin antidote) readily available in case of overdose; each mg neutralizes 100 units of heparin.
  • Report nose bleed, bleeding of the gums, unusual bruising, black or tarry stools, cloudy or dark urine, abdominal or lower back pain, severe headache.
]]> 2021-09-13 11:58:14 UTC https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735786510 medrozoshantalmarie https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735824984 Generic name: Norepinephrine Hydrochloride
Brand name: Levophed; Norepin]]> 2021-09-13 12:16:13 UTC https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735824984 medrozoshantalmarie https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735827141 Stock Dosage 
Initial: 8-12 mcg/min IV infusion; titrate to effect
Maintenance: 2-4 mcg/min IV infusion
]]> 2021-09-13 12:17:07 UTC https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735827141 medrozoshantalmarie https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735828394  Classification 
  • Alpha/Beta Adrenergic Agonists
]]> 2021-09-13 12:17:41 UTC https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735828394 medrozoshantalmarie https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735830221 Indication/s 
  • Mainly used to treat patients in vasodilatory shock states such as septic shock and neurogenic shock and has shown a survival benefit over dopamine. Also used as a vasopressor medication for patients with critical hypotension.
]]> 2021-09-13 12:18:10 UTC https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735830221 medrozoshantalmarie https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735832008 Contraindications
  • Patients that are hypersensitivity to the drug; Low blood pressure (hypotension) due to blood volume deficit and has Peripheral vascular thrombosis
]]> 2021-09-13 12:18:54 UTC https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735832008 medrozoshantalmarie https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735833846 Side Effects and Adverse Effects 
  • Slow heart rate, High blood pressure (hypertension), Irregular heartbeats (arrhythmias), Confusion, Anxiety, Shortness of breath, with or without respiratory difficulty, Headache, Nausea and vomiting
  • Potentially Fatal: Pain or burning where the injection is given, Sudden numbness/weakness/cold feeling in your body, Blue lips or fingernails
]]> 2021-09-13 12:19:36 UTC https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735833846 medrozoshantalmarie https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735835764  Nursing Responsibilities
  • Monitor blood pressure and apical pulse continously during norepinephrine therapy.
  • Cardiac monitor should be used on patients receiving norepinephrine IV infusions.
  • Defibrillator and resuscitation cart should be close by during infusion.
  • Titrate infusion rate to maintain systolic BP at 80 – 100 mg Hg.
  • Assess patient frequently for headache, chest pain, or other signs of toxicity.
  • Do not mix other medications in IV line with norepinephrine drip.
]]> 2021-09-13 12:20:22 UTC https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735835764 medrozoshantalmarie https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735839263  Mechanism of Action 
  • Norepinephrine functions as a peripheral vasoconstrictor by acting on alpha-adrenergic receptors. It is also an inotropic stimulator of the heart and dilator of coronary arteries as a result of it's activity at the beta-adrenergic receptors.
]]> 2021-09-13 12:21:49 UTC https://padlet.com/medrozoshantalmarie/8r22guvmt810oo1v/wish/1735839263