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Patient History • 55 year old African-American female • Aortic Stenosis • EF 75% • End stage renal disease • Hypertension • Atrial Fibrillation • Diabetes Type II • Stroke • Morbid Obesity • Tested positive for (PF4) platelet factor 4 / heparin antibodies • Presented to Baylor for kidney transplant
Patient Information • BSA 2.00 • Drug Allergies • 62 inches (157.5 centimeters) • 201 pounds (91.8 Kilograms) • Lab Values • HCT 31.5 % • WBC 8.4 K/cc • K 3.8 mmol/L • Total Bilirubin 0.4 mg/dl • Platelet 497 k/cc • Creatinine 8.3 • BUN 49 • Porcine Heparin
Page 1 and 2: Aortic Valve Replacement in the Set
Page 3 and 4: Pathogenesis of HIT • In select p
Page 5 and 6: Complications of HIT • Deep vein
Page 8: • Synthetic • 526.66 daltons
Page 11: Case Report May 23, 2008
Page 15 and 16: • 3/16 inch line for CO 2 infusio
Page 17 and 18: Perfusion Circuit
Page 19 and 20: Prime • 2PRBC’s • 0.8 Liters
Page 21 and 22: Calculating Sieving Coefficient Cal
Page 23 and 24: Dosing Considerations • Drug is m
Page 25 and 26: Monitoring: TEG Symbols • R - Ini
Page 27 and 28: On CPB • Loading Dose given @ 140
Page 29 and 30: • I.V. adjustment to 3.0 mcg/Kg/m
Page 31 and 32: Argatroban Procedure
Page 33 and 34: Revaluation • Net Clot Strength i
Page 35 and 36: 30 min Post Argatroban Bolus • I-
Page 37 and 38: CPB • Total Bypass 98 minutes •
Page 39 and 40: Time ACT ACT2 RTEG Angle MA G Hct U
Page 41 and 42: • I-Stat ACT 633 / 767 ICU TEG
Page 43 and 44: • I-Stat TEG >1000 / 767 ICU TEG
Page 45 and 46: Concluding Thoughts • I-Stat ACT

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