POTD: KCentra & INR

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How do I use KCentra for reversal of anticoagulation? 

KCentra aka PCC4 (prothrombin complex concentrate 4)

  • Contains Factors 2, 7, 9, 10, Proteins C & S, antithrombin III, human albumin, and heparin (to stop early activation of factors)

  • PCC-3 doesn't have factor 7, Protein C, or Protein S

Dosing for Warfarin Reversal 

  • You don't have to memorize this! It's in our order set! And also on Kcentra.com

    • INR 2-4 = 25 units/kg

    • INR 4-6 = 35 units/kg

    • INR >6 = 50 units/kg

  • Life threatening bleed and don't have the INR yet? 1500 unit flat dose

  • MUST GET INR to assess the need for supplemental dosing.

    • For a 75kg patient, 1500 units is only 20 units/kg, so regardless of INR, the patient will likely require more KCentra.

Follow up

  • Get repeat INR 30-60 minutes after dose of KCentra

  • If elevated, may require additional doses

  • Monitor for signs and symptoms of thromboembolic events

Dosing for NOAC Reversal

  • 50 units/kg

Contraindications

  • Patients with heparin induced thrombocytopenia (HIT)

  • Patients who do not want blood products

    • Also has the same risks as giving blood products

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