A 48-year-old woman presents with heparin-induced thrombocytopenia; she developed DVT. Which one is the best anticoagulant?
سؤال مجاني 2 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: B. Argatroban
In HIT, all heparin must be stopped and a non-heparin anticoagulant started. Argatroban, a direct thrombin inhibitor, is the agent indicated for HIT (fondaparinux and bivalirudin are other alternatives).
- Enoxaparin is a heparin (LMWH) and is contraindicated in HIT.
- Warfarin is started only once the platelet count has recovered above 150,000, never as initial therapy.
ليش كل خيار صح أو غلط
-
A
ليش غلط
Warfarin is started only after the platelet count is above 150,000, not as initial therapy in HIT.
✓ Year4C- Anticoagulants🍓.pdf · p. 32 -
B
ليش صح
Argatroban is a direct thrombin inhibitor indicated in patients with heparin-induced thrombocytopenia.
✓ Year4C- Anticoagulants🍓.pdf · p. 12 -
C
ليش غلط
In HIT all heparin must be discontinued immediately and an alternative anticoagulant started; enoxaparin is a (low-molecular-weight) heparin.
✓ Year4C- Anticoagulants🍓.pdf · p. 31
- المصدر
- Year4C- Anticoagulants🍓.pdf · p. 32
Year4C- Anticoagulants🍓.pdf · p. 12
Year4C- Anticoagulants🍓.pdf · p. 31 - المحاضرة
- Anticoagulation · Hematology · Module C
- ظهر في
- MED42 Compre C