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Flashcards in Emergencies Deck (63)
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61

Overanticoagulation

Agents being used more & more
INR's up to 5
INR's >9

62

Necessary Steps to Treat Overanticoagulation for Patients on Warfarin

Assess whether there is significant bleeding
Assess for head trauma
Assess whether the patient should be anti coagulated again in the future
Give FFP & Vitamin K for significant bleeding
Give PO Vitamin K for INR >9 without bleeding
Avoid SQ Vitamin K

63

Necessary Steps to Treat Overanticoagulation for Patients on Non-Warfarin Agents

Assess for bleeding & head trauma
Identify the specific agent & call pharmacy/hematology
For significant bleeding, consider protamine sulfate for heparin or LMWF
Significant bleeding, consider recombinant activate Factor VII