Dabigatran reversal
Revision as of 18:15, 9 June 2012 by Rossdonaldson1 (talk | contribs)
Background
- If aPTT is totally normal (<1.5x), unlikely that significant drug effect is present
Reversal Protocol
- Mild Bleeding
- Local control measures
- Delay next 1-2 dose OR discontinue as appropriate
- Moderate-Severe Bleeding
- Local control measures/surgical intervention
- Symptomatic treatment
- Fluids/blood/monitoring
- Oral charcoal administration (if taken <2hrs before)
- Hemodialysis (removes 60% over 2-3hrs)
- Life-Threatening Bleeding
- All above
- Consider
- rFVIIa
- PCC
Source
Hennipin County Guidelines University of Utah Healthcare Thrombosis Service Guidelines