A 45 year old male patient presented to the emergency room with crushing chest pain. Although his EKG did not show ST-elevation, he did have a Troponin I level of 4.0. The emergency room physician has ordered Eptifibatide Bolus. What serum levels are important to monitor when on Eptifibatide?
Explanation
Answer: D - In patients who have been administered Eptifibatide, a GP IIb-IIIa inhibitor, serum levels of INR, PTT, Platelets, Hemoglobin, Hematocrit and Creatinine should all be monitored post bolus. Eptifibatide is indicated for use in non ST-elevation (NSTEMI) and can cause severe bleeding along with renal impairment so it is vital to monitor for this.
