Part 4 Answers...and the end
Stop heparin, call haematologist, they will almost certainly have looked at the blood film by now which will give them useful information.
Order “HIT” screen
2 main elements to HIT, thrombosis (from platelets) and bleeding from thrombocytopaenia. Treatment with a thrombin inhibitor (Argatroban) to remove stimulus to consume platelets and at the same time to prevent thrombosis
HIT is pretty complicated, confusing (why do you need to anticoagulate some-one who might also bleed)….get help from haematology. Here are 2 sources of information about HIT
In order to get some prescribing resources out there we intend to publish a series of prescribing problems on the website. The problems will appear at least weekly with the "answers" appearing a couple of days later. We'll use the standard exam stationery available on the LSE, but also available below in case you haven't got access to the LSE.