Unique Plan Description: protamine Reversal of heparin
Plan Selection Display: protamine Reversal of heparin
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-01-13 13:57:47
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-21 12:45:07
Available at all facilities: Yes

protamine Reversal of heparin
Medications
		The maximum recommended dose within a 2 hour period is 100 mg unless a larger quantity is indicated through confirmation by coagulation testsOnset of action is approximately 5 minutes.  Duration of action is approximately 2 hours(NOTE)*
		  Premedication:  In patients previously treated with protamine sulfate containing insulin (NPH), have undergone vasectomy, or have known fish allergies, consider pre-treating with steroids or antihistamines.(NOTE)*
	Benadryl
		12.5 mg, Injection, IV PUSH, Once, NOW
	Decadron injectable
		10 mg, Injection, IV PUSH, Once, NOW
		   Heparin IV Bolus Reversal: Protamine dose is 1 mg for every 100 units of heparin administered.(NOTE)*
	protamine
		mg, Injection, IVPB, Once, NOW
			Comment: Heparin Reversal IV Bolus. Infuse slowly (</= 5 mg/min) to avoid hypotension and bradycardia
		   Heparin Infusion Reversal: Protamine dose is 1 mg/100 units heparin (previous hour) + protamine 0.5 mg/100 units heparin (during 2nd previous hr) + protamine 0.25 mg/100 units heparin (during 3rd previous hr).(NOTE)*
		mg, Injection, IVPB, Once, NOW
			Comment: Heparin Reversal Infusion.  Infuse slowly (</= 5 mg/min) to avoid hypotension and bradycardia
Patient Care
	Order Lab
		T;N, PTT to be done 15 minutes after protamine infusion complete. Nurse to enter lab.
Consults/Follow-up
	Pharmacy Consult
		T;N, Call pharmacy for assistance with dose calculation.

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase