![]() You don't normally see your fighters until training, but he was living with me. Said Steward, who co-manages Lee with Perry Mandera: "He was 21, didn't know anything about America. It would have been lonesome if I got an apartment." I was going into a home environment at the house. ![]() "Emanuel liked having me there, he never charged me rent, and I liked being there. "I figured I might as well stay here," he said. At first, they figured he would stay for a few weeks while Lee looked for his own place. Upon his arrival in Detroit, Lee moved in with Steward. I could have stayed in Ireland, but it was a new challenge. "But mainly I felt it was time to come to America and fight at a famous gym with a famous trainer. "It was tempting, but Emanuel gave me a signing bonus, so it was easier," Lee said. Lee had an offer from Ireland's amateur program to stay an amateur and receive money for education and a car, among other perks. I wanted to be trained and managed by him, and he wanted to train and manage me." "Then I visited in 2004, 2005 to see him and see the gym and talk about what plans he had for me. "Emanuel was very approachable," Lee said. Lee and Steward met in 2004 when the trainer was on a speaking tour in England and Ireland. Lee and Steward travel together regularly, including to Steward's HBO fights and Klitschko's training camps - this one being an exception because of Lee's own fight - where the fighter spars with Klitschko. Since Lee moved to the United States in 2006, he has lived with Steward in his Detroit home, along with Javon "Sugar" Hill, Steward's nephew and Lee's assistant trainer and close friend. They have been virtually inseparable since in what has evolved into a father-son relationship. Lee (28-1, 20 KOs), a 2004 Irish Olympian southpaw, was a 21-year-old fresh out of the amateur ranks when he signed with Steward and turned pro in 2006. Steward and Lee aren't just trainer/manager and fighter. "This is a big moment for me and for Andy." "It's like I've been raising Andy for this moment," Steward said. On Sunday, Steward will head back to Austria to be with Klitschko, hoping he'll be smiling all the way, thanks to a Lee victory. "It's more personal with Andy than any other fighter I've had." "I've never been this close to any fighter, including Tommy," Steward said. ![]() He'll be there for less than 48 hours, just long enough to work the corner for Lee, who will challenge middleweight titleholder Julio Cesar Chavez Jr. fight Saturday in Las Vegas and immediately flying to Austria to work with Klitschko during the week, the trainer will be back on a plane Friday headed for El Paso, Texas. ![]() So deep is Steward's commitment to Lee that after calling the HBO PPV broadcast of the Manny Pacquiao-Timothy Bradley Jr. "None of the others even come close if Andy can do this," Steward said Thursday from Austria, where he was training Klitschko for his July 7 rematch with Tony Thompson. So it should tell you something about the depth of the bond that Steward has with middleweight contender Andy Lee when he says that if Lee can win a world title, it would mean more to him than any of the big championship bouts his fighters have won since Hearns' 1980s heyday. The most famous are fellow Hall of Famers Thomas Hearns (who was inducted last week) and Lennox Lewis as well as reigning heavyweight champion Wladimir Klitschko. Trainer and manager Emanuel Steward has worked with numerous elite fighters, leading several to world championships. You have reached a degraded version of because you're using an unsupported version of Internet Explorer.įor a complete experience, please upgrade or use a supported browser ![]()
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![]() ![]() In addition to the one time front-end fee of 0.25%, DPL DDOs are subject to a stand-by fee 1 of 0.50% per annum on undisbursed balances, accruing from the date of effectiveness.ġ. The calculation of the average repayment maturity begins at loan effectiveness for the determination of the applicable maturity premium, but at withdrawal for the remaining components of the spread. Pricingĭisbursements will be priced at the prevailing spread over the reference rate for IBRD loans –comprised of the contractual spread, funding cost, maturity premium, and market risk premium– at the time of drawdown. In order to provide greater certainty to the borrower that the funds will be available when needed, the Bank will periodically monitor the borrower’s compliance with the drawdown conditions. The loan proceeds may be drawn down at any time during the three year drawdown period unless the Bank has notified the borrower that one of the drawdown conditions – adequate macroeconomic framework and satisfactory program implementation – is not being met. ![]() Under the DPL DDO, the borrower may defer disbursement of a DPL for up to three years, renewable for an additional three years. The DPL DDO also provides a formal basis for continuing a policy-based engagement with the World Bank when no immediate need for funding exists. The Development Policy Loan (DPL) with a Deferred Drawdown Option (DPL DDO) is a contingent credit line that allows the borrower to rapidly meet its financing requirements following a shortfall in resources due to adverse economic events such as a downturn in economic growth or unfavorable changes in commodity prices or terms of trade. ![]() ![]() Remove from oven and immediately invert onto plate. Reduce heat cover and simmer until tender, 8-10 minutes. Bake in 350F oven for about 30 minutes, or until pie dough is slightly golden. Place squash in a large saucepan and cover with water bring to a boil. Roll out the pie dough to size of pie dish and place on top of squash pieces, tucking in the edges all around. Arrange the squash pieces on top of the syrup, rounded side facing down. Once the squash has cooled, cut into pieces and peel the skin. ![]() Once butter is melted immediately pour into a buttered pie plate that is lined with a buttered piece of parchment paper. Meanwhile, simmer maple syrup in a skillet over medium heat for about 5 minutes. (Or you can peel and cut the squash before roasting if you prefer). Refrigerate until pie is cool and serve with whipped cream and ice cream if desired.1/2 medium to large sized buttercup squashĬut the squash in half and roast cut side down on oiled baking sheet at 375F for 30 to 45 minutes, until tender but still holding its shape. If browning occurs early, cover with a crust rim or loose foil. Bake pie at 350 for 45 minute to an hour or until center is baked through. Top with embellishment crust cutouts if desired and flute or decorate edges. In a mixing bowl, mix all remaining ingredients and pour into prepared pie shell. Grease pie plate and fit one crust in the bottom of plate. 3 cups roasted Buttercup Squash, mashed (If you cannot find Buttercup, a Butternut will work).1 to 2, 9″ pie shells – One for crust, one for embellishments if desired.After doing a little research on the texture and flavor of this squash, I decided this squash was SCREAMING to be a pie! Buttercup squash pie! I was fairly sure I wanted to bake a pie and had a ton of extra mountain apples on hand. I had planned most of my menu for the weekend, but hadn’t fully decided on a dessert. So as with all things new, I excitedly tossed it in the buggy, immediately beginning to think what I could do with this gem. Healthiest Ice Cream Ever: This paleo ice cream recipe is designed to eat while on a sugar detox. How could I pass up a new ingredient called buttercup? It even sounds good. I picked it up, cocked my head and gave it a curious look. A little Oompa Loompa squash if you can picture that. ![]() It was squatty, fat and greenish yellow, almost like a watermelon, squash hybrid. Layer it with bitter greens in a meatless lasagna riff, fry it with chorizo for a hearty hash, or cube and roast it for a hefty addition to a lunchtime kale salad. 5 tablespoons cold Organic Valley Unsalted Butter, at room temp 2 tablespoons maple syrup (more to taste) 1 teaspoon vanilla 1 teaspoon cinnamon. Over the weekend, I came across a gorgeous squash called Buttercup. for the squash butter puree: 1 cup soft squash mash from a buttercup squash, butternut squash, or sweet potato (don't sub canned pumpkin - it’s too. Let’s see….we’ve had pumpkin mac n cheese, pumpkin cookies, stuffed acorn squash, mini pumpkin doughnuts, stuffed spaghetti squash and even pumpkin whoopie in the kitchen. It’s no secret I have been in the fall harvest, comfort cooking mindset. I just love that song! □ Now that we are in the mood…let’s talk pie. Butter and flour a 9-by-5-by-3-inch loaf pan, and set aside. “Why do you build me up, buttercup baby just to let me down….and mess me around…” ![]() ![]() Once this verification is done, you officially have a public business profile! Whichever option you choose will provide a verification code which you will then enter on the next screen. ![]() Or you can receive a text or phone call to your business number. You can receive an email if you have an email set up on the same domain as your business website. On the next page, you’ll see a couple of different options to verify your Yelp business profile. Step 4: Claim your business profile on Yelp On the next page, fill out your business categories, business phone number, website, and street address. Fill out your zip code and business name and click “Continue.” See Step 4 for more details.Īfter you create your Yelp business account, you’ll be brought to this page to add your business. If that’s the case, then hover over “Unclaimed” and click “Claim this business.” Yelp will then prompt you to receive an email, text, or phone call to verify your business profile. If you do find your business, it will likely have an “Unclaimed” notice next to the name. If you don’t find it, then return to your window and continue to Step 3. So it’s important to check to see if you have a listing already out there before creating a new one.īefore filling out your business information, go to in a new window and search for your business. Next, Yelp will prompt you to “look up your business.” Sometimes business profiles are automatically generated from users who wanted to leave reviews. You don’t need to have a separate login for each business you own or manage.įill out your first name, last name, email, and password. Under your business account, you can manage multiple profiles for several businesses or locations. ![]() How to create a Yelp profile for your business In this guide, we’ll show you how to create and claim your Yelp business profile. Yelp is an important website in the world of online reviews, so it’s a good idea for your business to have a listing to both help give you more credibility with the search engines and get more reviews. ![]() This gives your business credibility and gives you the opportunity to receive online feedback from your customers via the reviews on these websites. Google, Bing, and other search engines use online directories like Yelp, Yellowpages, and so many others to help verify that your business is legit. Getting online reviews and filling out online profiles for your business are both important parts of showing up well in the search engines. ![]() ![]() ![]() ![]() One of the highlights of the FatSecret Calorie Counter is that there’s actually a community that you have quick access to. You can actually regularly update your weight, which will show you a handy graph of how much you lost or gained over time.įatSecret takes advantage of the world’s highest quality food and nutrition database, allowing you to easily keep track of and add your foods to the app. It has the most basic function that you would expect out of a calorie counter - the ability to keep track of your food, exercise (workouts), as well as your weight. It’s fairly straight forward and easy to access most of the app’s features, which makes it less confusing than, say, Lose It! and MyFitnessPal. It has a very clean user interface with vibrant colors. One of the advantages that FatSecret’s Calorie Counter has is the design. Next up, we’re looking at the Calorie Counter by FatSecret. You can create your own challenges to make weight loss fun. It has some neat meal planning features as well and will even allow you to track foods by taking a picture of it. One of the neat things about Lose It is that it’s a little more motivational than MFP. You can track water intake just like MFP, and you can scan products into your database. There are a lot of similar categories - Breakfast, Lunch, Dinner and Snacks. The Lose It! app offers similar functionality to MyFitnessPal. As we already mentioned, the application also features a UPC scanning feature so you can quickly get a food entered into one of your categories. MyFitnessPal has a large database that should help you find almost anything that you’re eating. ![]() It even allows you to track your water intake. MyFitnessPal allows you to organize your meals by Breakfast, Lunch, Dinner, and Snacks. One of the best apps on the market for counting calories is MyFitnessPal. Not sure what calorie counting app to pick up for yourself? Best Calorie Counter App These applications also let you enter foods by weight (imperial or metric), so you can get an exact measurement of calories consumed.Īs you can see, counting calories really isn’t that hard with modern technology. Many of these applications even have the ability to scan UPCs, thus giving you the most accurate representation of what you’re eating. A lot of these applications have a huge database of food that allows you to quickly pick out what you ate and what calories is in it. Modern technology has also made counting calories a whole lot easier. There’s really no other way to do this than to very carefully watch what you eat. That in mind, you need to count calories to make sure you’re staying below that daily caloric expenditure, and thus, a deficit. But, if you want to lose weight, you have to be at a deficit of that daily expenditure. When you lose weight, you have a daily caloric expenditure - this is the calorie goal that you want to hit in order to maintain your weight. In fact, it really is one of the only surefire ways to lose weight. However, when it comes to tracking calories and macros, this app is one of the best.Calorie counting can be super helpful if you want to lose weight, and the best calorie counter app for your android device comes in handy. Unfortunately, the app doesn't offer other features like a community of workouts like other apps on the list. Sure, it isn't cheap, but it might be more affordable in the long run.īesides that, the app offers many different plates and recipes you can use to keep track of what you eat in a flash. A cool feature about Calory is that not only will it ask you a lot of questions to get to know you better, but it also asks you the time you have in mind to reach your goal.Īnother great thing that sets Calory apart is that, while it does have a subscription available, you can also buy a lifetime subscription for $29.99. And that's where Calory comes in.Ĭalory is another effective calorie counter that's really easy to use. Sure, you can use one of the best goal-tracking apps, but if you really want to focus on losing weight, you also need to count your calories. When it comes to goals that are as hard as losing weight, you need all the help you can get. ![]() ![]() ![]() ![]() Due out on September 16 from Atlantic/Swan Song in multiple formats, the collection will feature newly remastered tracks as well as eight previously unreleased BBC recordings … Zone is the new JEFF The Brotherhood record, set for an August 12 release via Dine Alone … The Beatles’ three sold-out concerts at the Hollywood Bowl in 19 will be captured on new album The Beatles: Live At The Hollywood Bowl. The jaunt will commemorate the 25th anniversary of the band’s only album, which will be reissued by UMe on September 30 … Total Treble/INgrooves will issue the new Against Me! album, Shape Shift With Me, on Septemer 16 … On September 23, the new album from Rachael Yamagata, Tightrope Walker, will be available from Frankenfish/Thirty Tigers … Nearly 20 years after its original release, Led Zeppelin will unveil The Complete BBC Sessions, an updated version of a two-disc set of live recordings from the bands’ appearances on BBC radio between 19. ![]() Schmilco is the aptly titled 10th studio album from Wilco, due out from the band’s own dBpm Records on September 9 … Temple Of The Dog-the supergroup consisting of Chris Cornell, Stone Gossard, Jeff Ament, Mike McCready and Matt Cameron-has announced its reunion for its first-ever tour since forming in 1990. ![]() ![]() Ghost exclusively partnered with Anheuser-Busch to manufacture and distribute the ready to drink products. Ghost energy provides a fully transparent label ** This is a limited-edition flavor, once it sells out it is gone **ġg L-Carnitine L-Tartrate (Metabolism / Natural Energy)ġ00mg NeuroFactor (Brain health and function)Ģ5mg Astragin (Improve absorption of ingredients)ĭropped ALCAR for Carnipure LCLT (ALCAR is not stable in liquid solutions for long periods of time) You can also find this on webpages such as This will be available in Grocery, Gas Stations and retailer stores ![]() It also has zero sugar and zero calories for a clean and healthy burst of energy perfect for any activity. Add to online shopping list or grocery cart for Hannaford To Go. Find quality beverages products to add to your Shopping List or order. Gamer is Ghost’s powerful nootropic product that is perfect for school, ESports, and work. Winners just pay shipping (Gold Members are FREE Shipping) Ghost Bubblicious contains 200mg of caffeine per can. Ghost Zero Sugar Bubblicious Strawberry Splash Energy Drink found at Hannaford Supermarket. Shop for Ghost Bubblicious Cotton Candy Energy Drink (16 fl oz) at King Soopers. If you are a fan of Bubblicious bubblegum this is a pinpoint replica of the candy.ġ Hour time period (Enter Email for drawing) This is a fun flavor that is totally different from the others on the Ghost Energy line. On April 24, 2020, Ghost Lifestyle launched one of their most creative flavor collaborations to date Ghost Legend Bubblicious Strawberry Splash. Most may find this unique because you are used to eating bubblegum and not drinking it. GHOST ENERGY, the fully transparent, fully loaded, feel-good energy drink weve all been. The flavoring is pure, dense, and luscious which provides a heavy bubblegum taste. At first, you get a dense bubblegum flavor with a strawberry backend aftertaste. Find quality beverages products to add to your Shopping List or order online. Now Ghost is launching this flavor in Ghost Energy. Shop for Ghost Bubblicious Strawberry Splash Energy Drink (16 fl oz) at QFC. This four pack bundle contains TWO cans of each of these flavors Bubblicious Strawberry Splash. The brand decided to bring it back for Legend v2 in 2021. Ghost Energy drinks will keep you going all day long. Pick up orders have no service fees, regardless of non-Instacart+ or Instacart+ membership.Strawberry Splash - This flavor debuted for Legend in April of 2020. /rebates/&.com252fenergy-drinks252fghost-energy-drink. Instacart+ membership waives this like it would a delivery fee. There may be a "pickup fee" (equivalent to a delivery fee for pickup orders) on your pick up order that is typically $1.99 for non-Instacart+ members. Introducing GHOST ENERGY, the fully transparent, fully loaded, feel-good energy frink weve all been waiting for. With an optional Instacart+ membership, you can get $0 delivery fee on every order over $35 and lower service fees too. 100% of your tip goes directly to the shopper who delivers your order. Sour Patch Kids Redberry Citrus Tropical Mango Sour Patch Kids Blue Raspberry WarHeads Sour Watermelon Swedish Fish Orange Cream Bubblicious Strawberry. Food hunt for energy drinks.Channel Supporters:BKPHIPPS4https://. It's a great way to show your shopper appreciation and recognition for excellent service. Bubblicious Strawberry Splash Bubble Gum flavored Ghost energy drink at Walmart Zero sugar. Regardless if you’re dropping in for a round of BR with the squad, driving the lane in 2k or squaring up a PK in FIFA, GHOST® GAMER delivers. Tipping is optional but encouraged for delivery orders. Introducing GHOST® GAMER, the perfect combo of brain-boosting nootropics and natural energy delivered in true GHOST® formSICK design, EPIC flavors and a STACKED, fully transparent formula. Orders containing alcohol have a separate service fee. Service fees vary and are subject to change based on factors like location and the number and types of items in your cart. Fees vary for one-hour deliveries, club store deliveries, and deliveries under $35. Delivery fees start at $3.99 for same-day orders over $35. ![]() Here's a breakdown of Instacart delivery cost: ![]() ![]() ![]() It features plenty of rainfall with just a hint of thunder rumbling in the lower register. This balanced rain sound is perfect for blocking out unwanted noise and relieving stress. Trouble sleeping Rain Rain helps you fall asleep fast Let over 100 high-quality endless sounds lull you to sleep in no time, with more sounds added all. Tell the sound name, such as Thunderstorm or say “Random” to let the skill play a sound for you. Mighty, rolling thunder drums in the sky, as rain patters outside. Download Amazing Rain and Thunder Sound and enjoy it on your iPhone, iPad, and iPod touch. The Sound of Thunder, without the fear of strikes Thousands of visitors come to myNoise every day to relax and listen to the myNoise Rain Noise. Thunderstorm Sounds by London Time Studio 102 App 099 Available instantly on compatible devices. Open the skill: “Alexa, open Ambient Sounds”.Those are Heartbeat, Ocean, Rain, Relax, Babbling Brook, Thunderstorm, White Noise, Rainforest, Fireplace, Wind, Music Box, Forest Birds, Airplane, Train Ride, Oscillating Fan, Grandfather Clock, City Sounds, Crickets, Frogs, Vacuum, Beautiful Dream, Brown Noise, City Rain, Heavy Rain, Jungle Night, Mountain Lake, Sleep Little Babies, Small Lake, Swiss Massage, Wind Chimes, Underwater, Box Fan, Rain On Tin Roof, Forest Night, Distant Thunder, Waterfall, Distant Train, Cat Purring, Car Ride, Fountain, Cicadas, Coqui Frogs, Native American Flute, Whales, Rain on Tent, Pink Noise, Campfire, and Ocean Villa (Sleep Story). ![]() Soothing Sounds is a simple and beautiful ambient noise app to help you focus, relax. The Sleep and Relaxation Sound skill by Voice apps offers over 75 sounds to help you relax. Weve listed the top 7 alternatives to Rain Sounds for Sleep. After enabling a skill, use the commands below to play the sounds from a skill. You can also enable skills in the Alexa app by going to the More option followed by Skills & games. Sorry, using these sounds in noise (rain sound) apps is not allowed. Depending on your sound system setup it may be. ” Alternatively, tap/click on the skill links and hit the Enable skill button. Rain And Thunder is a collection of free audio loops and samples recorded during a. I have loved the sound of thunderstorms when sleeping most of my life. Different thunderstorm sounds (nature sounds) help you and your children fall asleep faster. How to Enable Skillsīefore you start using any of the following skills, you need to enable it. When you have found the perfect combination of thunder sounds, sleep music, and narrators, you can save your mix for tomorrow night and beyond.Now let’s jump to the skills. This nature white noise will help you de-stress after a long day. Our sleep sounds are created to loop on top of each other, creating endless patterns that never repeat such that they sound just like real thunderstorms.Ĭreating your own personalized thunderstorm sound sleep mix is easy! Just select what sounds you want, adjust their volumes, and fall asleep fast. Listen to The 20 Most Relaxing Rain and Thunderstorm Sounds to Fall Asleep with (Long Audio Loops, Sleep Aid) on Spotify. 3.04M subscribers Subscribe 82K 13M views 5 years ago Rain and thunder sounds in the forest create a relaxing mood. ![]() The Sound Machine sleep app lets you craft your own dynamic thunderstorm sounds using hundreds of nature and thunder noises, stories, meditations, and sleep music. Close your eyes, put on the headphones and choose one of the natural sounds and relax or sleep better. ![]() In the driest of months, it’s easy to long for that sleepy pitter patter noise of rain on the roof with the echo of thunder in the background. The noise of thunder, with its gentle rumbling, can overcome even the worst cases of insomnia. Rain Rain helps you fall asleep fast Let over 100 high-quality endless sounds lull you to sleep in no time, with more sounds added all the time. Thunderstorms are the perfect soundtrack for sleep. ![]() ![]() Zone 2: Open door I hear the "chirp", Screen shows 02 Not Ready Zone 1: Open door I hear the "chirp", Screen shows 01 Not Ready I exited programming mode, put it in chime mode, and the proceeded to open close each zone to see if everything works. Plugged it back in, put it in programming mode, and wrote down the code. I immediately removed the plug and disconnected the siren as I didn't want to try and troubleshoot with the alarm blasting and disturbing the neighbours. The very first time I plugged in the AC plug the alarm siren was blaring. ![]() Zone 3: Garage Door (Embarrassingly, I have no clue where the sensor is but it is not giving me any issues) However, following the FAQ here I was able to get my master code. I have no manuals that were left to me, nor the master code. It was only now I decided to try and get the security system to work as a stand alone as I figure its there, why not use it. Just some background, I bought the house 2 years ago and at the time the security system was disconnected, no service. I need some help trying to resolve a "Zone not ready" issue I am having. Then be sure *190 is enabled-if your existing 6150 KP is at address 17, then *190 is already enabled so you don't need to bother with it. Read the manual and wiring diagram.Īnd be sure to power down before switching keypads!Īnd what about the touch screen? Is there something that I have to do to tell the panel that it is now just a keypad?Īs I said, once in panel programming, go to field *189 and enter zero to disable AUI address so the panel won't be looking for a touchpad. Just make sure you change wire for wire, it's not complicated. The Vista-20P instructions say green, but ADT uses blue. The wires will be red, black, yellow and. I think it comes from the factory (default setting) addressed at "31". Yes, as long as you address the 6160 at "16". So what you are saying is that if I take out the old 6150, and put the new 6160 in where the 6150 was (assuming that I upgrade the bracket and all of that good stuff), but I just plug the wires in where the old one was, it should be good to go? You can find the Installation manual (including programming) online. The Safewatch Pro 3000EN is a slightly modified version of Honeywell/Ademco's Vista-20P control panel. Many keypads do NOT like to be connected with live wires and may go on permanent strike. NOTE: Power down the panel before replacing Keypads/AUI devices. There will be no problem replacing the 6270 TP (aka as an "AUI Device" in Panel Programming) with a 6160 KP-they both use the same 4-wire cable connected to terminals 4, 5, 6, 7 in the control panel.īefore you replace the 6270 with a 6160, you might want to disable the AUI/TP in Panel Programming at *189, enter zero to disable. Programming an address in the KP is "local keypad programming" and not Panel Programming, it's dead simple and only takes half a minute. The instructions for addressing your KP will come with the KP, or you can find it online. I would recommend you address your first 6160 to address 16 because that address will always be enabled-no confusion over that. If it's 16, chances are that 17 isn't enabled and you'll need to program *190 to enable a 2nd KP. If it's 17, that means that you have at least two keypad address enabled and won't need to enable any more. The KP address will be displayed, probably 16 or 17. Go to your 6150 and press 1 and 3 simultaneously until it beeps. Having an address enabled doesn't mean you have to have a KP on that address, it just allows other keypads to be added when you're ready. ![]() You can enable keypad addresses any time with your 6150 KP. Address 16 is permanently enabled in firmware, but all higher addresses must be enabled, starting in Field *190 Panel Programming for Address 17. You will always need to address your keypads (Keypads are addressed at 16, 17, 18, 19.etc). ![]() Keypads for ADT are unmodified and there is no special problem with replacing them. ![]() ![]() ![]() Low-Dose Prophylaxis of Postoperative Thromboembolism Frequently, a dose of 300 units per kilogram is used for procedures estimated to last less than 60 minutes, or 400 units per kilogram for those estimated to last longer than 60 minutes. Patients undergoing total body perfusion for open-heart surgery should receive an initial dose of not less than 150 units of Heparin sodium per kilogram of body weight. ![]() ![]() Infants 1 year of age: 18 to 20 units/kg/hour Older children may require less Heparin, similar to weight-adjusted adult dosageĪdjust Heparin to maintain aPTT of 60 to 85 seconds, assuming this reflects an anti-Factor Xa level of 0.35 to 0.70 In general, the following dosage schedule may be used as a guideline in pediatric patients:ħ5 to 100 units/kg (IV bolus over 10 minutes) Pediatric dosing recommendations are based on clinical experience. There are no adequate and well controlled studies on Heparin use in pediatric patients. Use preservative-free Heparin SODIUM INJECTION in neonates and infants. Use a different site for each injection to prevent the development of hematomaĥ,000 units by intravenous injection, followed by 10,000 to 20,000 units of a concentrated solution, subcutaneouslyĨ,000 to 10,000 units of a concentrated solutionġ5,000 to 20,000 units of a concentrated solutionġ0,000 units, either undiluted or in 50 to 100 mL of 0.9% Sodium Chloride Injection, USPĥ,000 to 10,000 units, either undiluted or in 50 to 100 mL of 0.9% Sodium Chloride Injection, USPĢ0,000 to 40,000 units/24 hours in 1,000 mL of 0.9% Sodium Chloride Injection, USP (or in any compatible solution) for infusion Table 1: Recommended Adult Full-Dose Heparin Regimens for Therapeutic Anticoagulant Effect Although dosages must be adjusted for the individual patient according to the results of suitable laboratory tests, the following dosage schedules may be used as guidelines: The dosing recommendations in Table 1 are based on clinical experience. Therapeutic Anticoagulant Effect with Full-Dose Heparin Periodically monitor platelet counts, hematocrit, and occult blood in stool during the entire course of Heparin therapy, regardless of the route of administration. After deep subcutaneous (intrafat) injections, tests for adequacy of dosage are best performed on samples drawn 4 to 6 hours after the injection. When the drug is administered intermittently by intravenous injection, perform coagulation tests before each injection during the initiation of treatment and at appropriate intervals thereafter. When initiating treatment with Heparin Sodium Injection by continuous intravenous infusion, determine the coagulation status (aPTT, INR, platelet count) at baseline and continue to follow aPTT approximately every 4 hours and then at appropriate intervals thereafter. Dosage is considered adequate when the activated partial thromboplastin time (aPTT) is 1.5 to 2 times normal or when the whole blood clotting time is elevated approximately 2.5 to 3 times the control value. Laboratory Monitoring for Efficacy and SafetyĪdjust the dosage of Heparin Sodium Injection according to the patient's coagulation test results. The intramuscular route of administration should be avoided because of the frequent occurrence of hematoma at the injection site. When Heparin is added to an infusion solution for continuous intravenous administration, the container should be inverted at least six times to ensure adequate mixing and prevent pooling of the Heparin in the solution.Īdminister Heparin Sodium Injection by intermittent intravenous injection, intravenous infusion, or deep subcutaneous (intrafat, i.e., above the iliac crest or abdominal fat layer) injection. ![]() Do not use if solution is discolored or contains a precipitate. Use only if solution is clear and the seal is intact. Inspect parenteral drug products visually for particulate matter and discoloration prior to administration, whenever solution and container permit. Confirm the selection of the correct formulation and strength prior to administration of the drug. Heparin Dosage and Administration Preparation for AdministrationĬonfirm the choice of the correct Heparin Sodium Injection vial to ensure that the 1 mL vial is not confused with a “catheter lock flush” vial or other 1 mL vial of incorrect strength. Anticoagulant use in blood transfusions, extracorporeal circulation, and dialysis procedures.Prophylaxis and treatment of peripheral arterial embolism.Prevention of clotting in arterial and cardiac surgery.Treatment of acute and chronic consumptive coagulopathies (disseminated intravascular coagulation).Prevention of postoperative deep venous thrombosis and pulmonary embolism in patients undergoing major abdominothoracic surgery or who, for other reasons, are at risk of developing thromboembolic disease.Prophylaxis and treatment of venous thrombosis and pulmonary embolism.Heparin Sodium Injection is indicated for: ![]() |
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