Reversal Agents Flashcards
Warfarin
Vitamin K
Phytomenadione
Heparin
Protamine
Dabigatran
Ida-ruci-zumab
Major Bleeding + Warfarin
Stop warfarin
Give intravenous vitamin K 5mg
Prothrombin complex concentrate - if not available then FFP*
INR > 8.0
Minor bleeding
On warfarin
Stop warfarin
Give intravenous vitamin K 1-3mg
Repeat dose of vitamin K if INR still too high after 24 hours
Restart warfarin when INR < 5.0
INR > 8.0
No bleeding
On warfarin
Stop warfarin
Give vitamin K 1-5mg by mouth, using the intravenous preparation orally
Repeat dose of vitamin K if INR still too high after 24 hours
Restart when INR < 5.0
INR 5.0-8.0
Minor bleeding
On warfarin
Stop warfarin
Give intravenous vitamin K 1-3mg
Restart when INR < 5.0
Apixaban / Rivoroxaban
Andexanet Alfa