WebAnticoagulation with unfractionated heparin during extracorporeal membrane oxygenation (ECMO) is common, but alternative agents are being evaluated for safety and efficacy. … WebBivalirudin (Hirulog, Angiomax) is a specific, reversible and direct thrombin inhibitor with a predictable anticoagulant effect. It is cleared by both proteolytic cleavage and renal …
Adult Argatroban Drip Protocol (Draft) - VCHCA
Webnintedanib increases effects of bivalirudin by anticoagulation. Use Caution/Monitor. Nintedanib is a VEGFR inhibitor, and may increase the risk of bleeding; monitor patients … WebJun 3, 2024 · If patient’s PTT is greater than 100 or INR greater than 2.5 do NOT start Argatroban and notify attending physician. Initiating Argatroban Therapy: 1. Only to be administered in ICU or DOU per Adult IV Administration Guidelines (Policy 100.025). 2. Use approved Adult Argatroban Drip PowerPlan: PHA Adult Argatroban Infusion Initiation … c of c standards
Bivalirudin UW Medicine Anticoagulation Services
WebDegree of reversal can be assessed with PTT and/or plasma-diluted thrombin time (UWMedicine: DTI assay [DTIPAT]) betrixaban (Bevyxxa) 19-27 hours (longer in renal impairment) Unknown There is no assay for betrixaban at this time. If ingested within 2 hours, administer activated charcoal Consider 4-factor PCC (KCentra) 2000 units WebApr 14, 2024 · Practical Management of Anticoagulation. The Impella percutaneous left ventricular assist device is a microaxial pump that aspirates blood from the left ventricle into the aorta. Traditionally, a heparin-based purge solution is essential to create a positive purge pressure, lubricate bearings, and prevent the ingress of blood into the motor. WebSep 28, 2024 · Bivalirudin. Inhibits thrombin <5 minutes via IV/ 25 minutes (longer in renal dysfunction) ACT, aPTT. ACT, aPTT. Argatroban. Inhibits thrombin. Immediate via IV/ 30–60 minutes. ACT, aPTT. ACT, aPTT. Fondaparinux. Inactivates factor Xa. 2 hours via subQ/ 17–21 hours. Anti-factor Xa. None. c maps lowrance