What is the critical laboratory parameter monitored to evaluate the therapeutic efficacy and safety of unfractionated Heparin therapy?

Answer and explanation

Correct answer: D. Activated Partial Thromboplastin Time

  1. Step 1: Unfractionated heparin potentiates antithrombin III, inactivating thrombin and factor Xa within the intrinsic and common coagulation pathways.
  2. Step 2: The Activated Partial Thromboplastin Time (aPTT) evaluates the intrinsic pathway, with the standard therapeutic range targeted at to times the patient's baseline control value (in contrast, INR is monitored for oral warfarin therapy).
Answer
Activated Partial Thromboplastin Time.
Why not the others: INR specifically monitors oral vitamin K antagonist therapy like warfarin, creatinine clearance evaluates glomerular renal filtration, and ESR/CRP evaluate non-specific inflammatory states.

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