Question # 4

A patient receiving continuous heparin develops a 40 % drop in platelet count from baseline on day 5 and has a new arterial thrombus. The nurse recognizes this as high probability of heparin-induced thrombocytopenia and should:

Options:

A.

Continue heparin and add aspirin

B.

Stop all heparin sources immediately, send HIT laboratory studies, and initiate a non-heparin anticoagulant as ordered

C.

Administer a platelet transfusion as first action

D.

Increase the heparin dose

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