Kdkdkd

GUIDELINES & PROTOCOLS ADVISORY COMMITTEE warfarin Therapy - Man historic periodment During Invasive Procedures and surgery effective participation: October 1, 2010 Scope This guideline is directed towards those physicians voluminous in the management of warfarin therapy when the patient (19 years of age and over) begs invasive procedures and surgery. For patients younger than 19, partake to the BC Childrens infirmary anticoagulation protocol. A summary (Appendix A) of this catalogue in flowchart formatting is included.

Therapeutic Measures for Reversal of Warfarin Therapy: VitaminK Intravenous(IV)deliv eryisthefastestandmost true(p)waytoobtaintheeffectofvitaminK Intramuscular(IM)orsubcutaneousdeliveryshouldbeavoided Iftheprocedureisin morethan24hours,thereisnodifferencebetween usingIVandoral(PO) Usefulforpost-operativeperiodsaswell overweening loony toonsofvitaminKcanleadtodifficultywithre-anticoagulation EffectonINRisobservedafter812hours,dependingonrouteofadministration Recommendeddoses: oral1to2mg IV5mgin50ccnormalsalineinfusedover30minutes VirallyInactivatedPlasma-Derived crop down(Octaplex®) Useonlyinconsultationwithspecialist preferredproductforrapidreversalofwarfarinwhenavailable continuationofactionis~6hours,typicallyonlyonedoseisneeded Virallyinactivatedplasma-derivedconcentratecontainingfactorsII,VII,IX,XandProteinCand ProteinS essentialbeusedinconjunctionwithIVvitaminK IndicatedforimmediateINRreversalinpatients: withactive,seriousbleeding whorequiresurgerywithinnext6hours ! Containsheparinandiscontraindicatedin...If you sine qua non to get a full essay, order it on our website: OrderCustomPaper.com

If you want to get a full essay, visit our page: write my paper