HIT Flashcards

1
Q

how is thrombocytopenia defined

A

platelet count <150,000 mcL

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2
Q

what is normal platelet count

A

150-400,000

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3
Q

HIT is a _____-mediated reaction that increases thrombosis

A

antibody

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4
Q

type I HIT

A

non-immune, transient

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5
Q

hype II HIT

A

immune-mediated, clinically significant

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6
Q

what is the incidence of HIT

A

1-3%

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7
Q

is LMWH or UFH more likely to cause HIT

A

UFH

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8
Q

are therapeutic or prophylactic doses more likely to cause HIT

A

therapeutic

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9
Q

are surgical or medical patients more likely to have HIT

A

surgical

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10
Q

HIT is a _____ syndrome

A

hypercoagulable

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11
Q

summarize HIT pathophysiology?

A

thrombin generation, platelet activation and microparticle release, HIT Ab binding to endothelial cells–> vascular injury and tissue factor release

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12
Q

thrombocytopenia results from _____ and ____

A

platelet aggregation and consumption

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13
Q

hypercoagulable means increased risk of ___

A

clot

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14
Q

how many days does it take to form an antibody

A

5-10

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15
Q

if the patient had prior exposure to heparin, HIT can occur ___

A

rapidly (<1 day)

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16
Q

nadir

A

20-60,000

17
Q

thrombocytopenia decrease

A

> 30-50,000

18
Q

which types of thrombosis are more common with HIT

A

venous>arterial (most commonly VTE or PE)

19
Q

how to interpret 4Ts score

A

0-3 is low risk, 4-5 is intermediate risk, 6-8 is high risk

20
Q

what if ELISA is positive

A

do serotonin release assay

21
Q

what if ELISA is negative

A

no HIT

22
Q

what if serotonin release assay is positive

A

HIT

23
Q

what if serotonin release assay is negative

A

no HIT