Therapy
for HIT
Immediately
stop heparin therapy
The
following therapy is contraindicated:
Low-molecular weight heparin
Donaparoid:
Coumadin may induce skin necrosis syndrome
Need to monitor with ant-Xa assay
May
use the following heparin analogs:
Lepirudin:
Argatroban:
Need to monitor with aPTT or ecarin prothrombin assay
(venom from snake Echis carinatus
Direct thrombin inhibitor
Monitor using aPTT
Recombinant thrombin inhibitor
Treatment: