After calculating a 4-T score of 6, you proceed to obtain confirmatory testing to support your diagnosis. A Heparin PF-4 antibody test is positive, and heparin-induced serotonin release assay (SRA) is under process. Given the presumptive diagnosis, which of the following treatment strategies would be most appropriate?
A. Discontinue Heparin and start low-molecular weight Heparin Wrong Choice!
B. Discontinue Heparin and start Argatroban Correct Choice
C. Discontinue Heparin and transfuse platelets Wrong Choice!
D. Start warfarin Wrong Choice!
Answer:B
After calculating a 4-T score of 6, you proceed to obtain confirmatory testing to support your diagnosis. A Heparin PF-4 antibody test is positive, and heparin-induced serotonin release assay (SRA) is under process. Given the presumptive diagnosis, which of the following treatment strategies would be most appropriate?
A. Discontinue Heparin and start low-molecular weight Heparin Wrong Choice! B. Discontinue Heparin and start Argatroban Correct Choice C. Discontinue Heparin and transfuse platelets Wrong Choice! D. Start warfarin Wrong Choice!