Table 1

Weight based heparin dosing nomogram

Initial doseBolus 80 U/kg, then 18 U/kg/h
aPTT < 35 s (< 1.2 × control)Bolus 80 U/kg, increase infusion by 4 U/kg/h
aPTT 35–45 s (1.2–1.5 × control)Bolus 40 U/kg, increase infusion by 2 U/kg/h
aPTT 46–70 s (1.5–2.3 × control)No change
aPTT 71–90 s (2.3–3 × control)Decrease infusion rate by 2 U/kg/h
aPTT > 90 s (> 3 × control)Hold infusion 1 hour, then decrease rate by 3 U/kg/h
  • aPTT is measured 6 hours after change of dosage, or at least once daily. Data from Raschke et al. Ann Intern Med1993;119:874.