A hospitalized patient on unfractionated heparin develops a 50% platelet fall and new thrombosis; 4T score is high. What is the immediate step?...

Question

A hospitalized patient on unfractionated heparin develops a 50% platelet fall and new thrombosis; 4T score is high. What is the immediate step?

Accepted Answer

Stop heparin and start a non-heparin anticoagulant (e.g., argatroban)

Answer

Continue heparin

Answer

Transfuse platelets

Answer

Wait for serotonin release assay before changing therapy

Answer

Start warfarin immediately

us-abim MCQ (SBA): HIT