Heparin Dosing Protocol

Greta A. Gourley, PharmD, PhD; Caroline S. Zeind, PharmD; Richard D. Jennings, PharmD; James R. Brown, PharmD, BCPS; Timothy H. Self, PharmD
Arch Intern Med. 1995;155(8):875. doi:10.1001/archinte.1995.00430080125017.
Text Size: A A A
Published online

We appreciate the recent success of Elliott et al1 and Kershaw et al2 in improving heparin dosing. Based on drug use evaluation in two of our local teaching hospitals, we have also noted the need for improved heparin dosing based on current literature. For example, most of the patients in our hospitals still receive heparin 1000 U/h (vs 1300 U/h or weight-based dosing). We report an effort to educate house staff regarding heparin dosing guidelines from the American College of Chest Physicians Consensus Conference on Antithrombotic Therapy.3 Our primary goals were to improve prescribing patterns for initial maintenance heparin doses, rebolus doses in response to subtherapeutic activated partial thromboplastin time, and subsequent adjustment of maintenance doses. To achieve these goals, we evaluated a time-efficient method of sharing current guidelines with house staff.

Methods.  At the first of each month from October 1993 to April 1994, the medicine


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.