Medications not yet evaluated by P&T are considered NON-FORMULARY . . . . . Always check 2 unique patient identifiers - NAME and DATE OF BIRTH - at every step! . . . . . Please be sure to document all clinical activities daily.
Ultrafiltration Heparin Sliding Scale



Ultrafiltration Heparin Sliding Scale Adjustment




High Heparin Protocol Adjustment
Please enter patients' PTT:
-----------------------------
Please enter patients' current heparin infusion rate: units/hr
Standard Heparin Protocol Adjustment
Please enter patients' current PTT:
-----------------------------
Please enter patients' current heparin infusion rate: units/hr
Low Heparin Protocol Adjustment
Please enter patients' PTT:
-----------------------------
Please enter patients' current heparin infusion rate: units/hr
Sliding Scale Adjustment:
New Drip Rate:
Next PTT Check:
Sliding Scale Adjustment:
New Drip Rate:
Next PTT Check:
Sliding Scale Adjustment:
New Drip Rate:
Next PTT Check:






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