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Which of the following lab exams should be performed frequently during the heparin treatment?
A 71-year-old woman, who underwent hip replacement, was dismissed from the hospital with an appropriate post-discharge therapy which included regular heparin, an SC injection daily.    



A. RBC count
B. Platelet count
C. Plasma K+ level
D. Plasma Na+ level
E. Bleeding time
F. Fibrinolysis time

This question is part of block 10 pharm anticoagulation drugs

Asked by Kayla, Last updated: Sep 08, 2020

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1 Answer

John Smith

John Smith

John Smith
John Smith

Answered Sep 09, 2016

Platelet count-learning objective: list the exams that should be done frequently during heparin treatment. answer: b heparin-induced thrombocytopenia (hit) is a serious adverse effect of the drug, and therefore platelet count should be performed weekly during heparin treatment. any thrombocytopenia appearing during treatment should be considered suspicious for hit. a, c, d) these exams are not needed during heparin treatment. e) bleeding time is normal in the presence of coagulation disorders other than thrombocytopenia or von willebrands disease. it can be increased in case of heparin-induced thrombocytopenia, but the platelet count is a much more reliable test. f) this test evaluates fibrinolytic activity. heparin does not interfere with the fibrinolysis test.
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