RT Book, Section
A1 Witsil, Joanne C.
A2 Sherman, Scott C.
A2 Weber, Joseph M.
A2 Schindlbeck, Michael A.
A2 Rahul G., Patwari
SR Print(0)
ID 1101228181
T1 Anticoagulant Therapy and Its Complications
T2 Clinical Emergency Medicine
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-179460-2
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1101228181
RD 2024/04/19
AB In  the  anticoagulated  patient,  have  a  low  threshold  to  obtain  imaging  studies  after  trauma.When  initiating  warfarin  therapy,  coadministration  with  heparin  or  low-molecular-weight  heparin  (3–5  days)  is  necessary  to  avoid  a  paradoxical  hypercoagulable  state.When  the  international  normalized  ratio  (INR)  is  supratherapeutic  in  a  patient  who  is  not  bleeding,  a  cautious  approach  to  vitamin  K  administration  is  important.  Administering  excess  vitamin  K  may  overcorrect  the  INR,  leaving  the  patient  refractory  to  further  anticoagulation.