By rray, 25 March, 2024 Apply measures to control bleeding Treat bleeding cause e g gastroscopy minor surgery Provide supportive measures
By rray, 25 March, 2024 Compress bleeding sites mechanically if accessible Assess hemodynamic status INR if on warfarin CBC renal fxn and last OAC dose Evaluate and treat for other bleeding risk factors EtOH renal failure interacting meds
By rray, 25 March, 2024 1st line Give 4 factor PCC Balfaxar Kcentra plus IV vitamin K 4F PCC preferred over FFP Base warfarin reversal on pre tx INR units of factor IX Repeat INR w in 30min after admin