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What to look for in someone w/ unprovoked thrombus + Still clots on heparin?

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Final answer:

When someone has an unprovoked thrombus and still forms clots while on heparin, there are several factors that need to be considered, such as underlying conditions, heparin resistance, and correct dosage.

Step-by-step explanation:

When someone has an unprovoked thrombus and still forms clots while on heparin, there are several factors that need to be considered.

  1. One possibility is that the patient may have an underlying condition that predisposes them to clotting. These conditions include thrombophilia, which is a tendency to form clots, and can be genetic or acquired.
  2. Another possibility is that the patient may have developed resistance to heparin. This can occur due to certain antibodies or genetic factors that interfere with the action of heparin.
  3. Lastly, it is also important to consider whether the patient is receiving the correct dose of heparin. Heparin dosage needs to be carefully monitored and adjusted based on the patient's individual response to the medication.

If someone is experiencing unprovoked thrombus and still clotting on heparin, further investigation and adjustment of treatment may be necessary to prevent future clotting events.

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