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학습 자료 둘러보기 →A critically high aPTT of 120 seconds combined with new bruising and orthostatic dizziness signals active hemorrhage. The absolute first nursing action is to stop the heparin infusion to eliminate the source of anticoagulation.
The therapeutic aPTT goal for unfractionated heparin is 1.5 to 2.5 times the control value. A level of 120 seconds is far beyond this window and constitutes a medical emergency.
Do not administer protamine sulfate as the first step. Although it is the reversal agent, the priority is to immediately discontinue the heparin infusion. Notify the provider after stopping the drip.
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