Emergency Anticoagulation Reversal

Question 1

Beriplex

Answer 1

II, IX, X, varying amounts of VII, proteins C+S
1500units (3 x 500units in haemorrhage control bag)

60mls over approx 8 mins

Record batch numbers

Question 2

Indications

Answer 2

All patients MUST be discussed with on-call consultant before administration

GCS <14 with primary pathology thought to be ICH
AND
(Confirmed or good clinical suspicion of anticoagulation with warfarin plus INR confirmed and documented on NPT <2
OR
Confirmed anticoagulation with NOAC)

Patients on warfarin with INR <2 should be discussed with on-call Cons

Question 3

INR measurement

Answer 3

All patients with suspected ICH being conveyed to MTC

Finger prick test