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Abstract
Pharmaceutical Care and Research: 2017; 17(4):258-261
DOI: 10.5428/pcar20170405
Case analysis of alternative non-heparin anticoagulant treatment for heparin-induced thrombocytopenia
1. HUANG JingJing1(1.Department of Pharmacy,Ruijin Hospital Affiliated to Medical School of Shanghai Jiaotong University,Shanghai 200025,China [email protected])
2. HUANG WeiFeng2( 2.Department of Intensive Care Unit,Sixth People’s Hospital Affiliated to Shanghai Jiaotong University,Shanghai 200233,China )
3. CHEN Yan3(3.Department of Pharmacy, Sixth People’s Hospital Affiliated to Shanghai Jiaotong University,Shanghai 200233,China [email protected])
ABSTRACT  Objective: Heparin-induced thrombocytopenia (HIT) is a severe immune adverse reaction to heparin (both unfractionated and low-molecular-weight).The case was analyzed to provide reference for HIT treatment in critically ill patients.Methods: The clinical pharmacist was involved in the HIT treatment of a critically ill patient with severe abdominal infection by using pharmaceutical knowledge and evidence-based literature.The individualized anticoagulant regimen for the patient was designed,with close pharmaceutical rounds.Results: After 2 weeks of alternative treatment,the platelet counts of the patient returned to the value before the occurrence of HIT and oral warfarin was finally adopted.Conclusion: Through the application of professional knowledge,clinical pharmacist involvement in the first-line diagnosis and treatment and provision of good pharmaceutical care was one of the effective methods in the transformation of pharmaceutical care.
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Please cite this article as:
HUANG JingJing1,HUANG WeiFeng2,CHEN Yan3,. Case analysis of alternative non-heparin anticoagulant treatment for heparin-induced thrombocytopenia[J]. Pharmaceutical Care and Research / yao xue fu wu yu yan jiu. 2017; 17(4): 258-261.
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