A client has heparin-induced thrombocytopenia (HIT). The student nurse asks how this is treated. About what drugs does the nurse instructor teach? (Select all that apply.)
a. Argatroban (Argatroban)
b. Bivalirudin (Angiomax)
c. Clopidogrel (Plavix)
d. Lepirudin (Refludan)
e. Methylprednisolone (Solu-Medrol)
ANS: A, B, D
The standard drugs used to treat HIT are argatroban, bivalirudin, and lepirudin. The other drugs are not used. Clopidogrel is an antiplatelet agent used to reduce the likelihood of stroke or myocardial infarction. Methylprednisolone is a steroid used to reduce inflammation.
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