COMPLICATIONS
OF ANTICOAGULANT THERAPY
Anticoagulants
are used in the treatment or prevention of thrombosis. These agents,
particularly warfarin or heparin, can result in bleeding. If the PT or PTT is
longer than desired and bleeding has not occurred, the medication can be
stopped or the dose decreased. Vitamin K is administered for warfarin toxicity.
Protamine sulfate is rarely needed for heparin toxicity, because the half-life
of heparin is very short. With significant bleeding, fresh frozen plasma
replaces the vitamin K–dependent coagulation factors.
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