Heparin-induced thrombocytopaenia (HIT) Flashcards

1
Q

mechanism of action of Heparin-induced thrombocytopaenia (HIT)?

A

immune mediated - antibodies form against complexes of platelet factor 4 (PF4) and heparin (type 2 hypersensitivity )

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2
Q

time when Heparin-induced thrombocytopaenia (HIT) occurs after giving heparin ?

A

after 5-10 days

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3
Q

Hit is a what condition ?

A

despite being associated with low platelets
HIT is actually a prothrombotic condition

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4
Q

which type of heparin causes HIT to occur more ?

A

standard heparin
(LMWH has lower risk of HIT )

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5
Q

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6
Q

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7
Q

clinical features of HIT ?

A

thrombosis and skin allergy

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8
Q

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9
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10
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11
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12
Q

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13
Q

diagnosis of HIT ?

A

greater than 50% reduction in platelets,

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14
Q

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15
Q

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16
Q

Mx of HIT ?

A

ongoing anticoagulation:
direct thrombin inhibitor e.g. argatroban
danaparoid

Dabigatran