This INR value is considered therapeutic for most patients treated for Afib or DVT/PE
What is INR 2-3?
This common antibiotic that only is given for 3 day duration causes a major INR increase and requires warfarin holding
What is Bactrim?
This DOAC is the only one with a capsule that cannot be opened
What is dabigatran?
This is the test used to measure heparin efficacy
What is PTT?
This reversal agent is given in two separate doses inpatient for dabigatran
What is Praxbind
What is increased Vit K intake?
This supplement lowers warfarin levels
This DOAC is preferred in patients with CrCL< 30
What is Eliquis
This is the first step when HIT is suspected
What is Stop all heparin
This is the reversal agent for unfractionated heparin
What is protamine?
Patient has just started amiodarone and this interaction with the CYP enzyme will affect the INR.
What is CYP inhibition?
This organ is responsible for producing clotting factors
What is the liver
This DOAC must be taken with food at doses >15 mg
What is Xarelto?
This is the typical onset window for HIT after starting heparin
What is Days 5-10?
This reversal agent is used when Andexxa is unavailable and is also used for warfarin reversals with Vitamin K
What is 4-Factor PCC?
This reversal agent is given orally if an INR is above 8.0, especially if patient has bleeding.
Vitamin K
This common OTC pain reliever increases bleeding risk but does not change INR
What is ibuprofen?
This drug is the specific reversal agent for Eliquis and Xarelto
What is Andexxa?
This type of heparin has the highest HIT risk
What is unfractioned heparin
This form of Vitamin K is not recommended due to its poor absorption
What is subcutaneous
This INR goal is a new development in guidelines for patients with mechanical aortic On-X valve?
What is INR goal 1.5-2.0?
This genetic variant makes patients more sensitive to warfarin
What is VKORC1 or CYP2C9
This DOAC is not recommended if CrCL > 95
What is edoxaban
This lab monitoring used for patients on chronic Enoxaparin therapy is increasingly necessary for those who have renal issues or are pregnant
What is Anti-XA monitoring?
This DOAC has the highest GI bleeding risk
What is Xarelto