A patient who is receiving reperfusion therapy has a history of heparin-induced thrombosis (HIT). The patient has a creatinine clearance of 28 mL/minute. In addition to the fibrinolytic agent, which medication will the provider prescribe for this patient?

Question

Quizplus · Accepted Answer

Bivalirudin is a direct thrombin inhibitor that does not cause HIT and is used in patients with a history of HIT. It is preferred in this scenario because it provides anticoagulation without the risk associated with heparin products.

A Patient Who Is Receiving Reperfusion Therapy Has a History