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Warfarin Complications, Emergency Medicine


Basics


Description


  • Most commonly prescribed oral anticoagulant
  • Inhibits vitamin K metabolism required for activation of factors II, VII, IX, and X
  • Blocks the coagulation cascades extrinsic system and common pathway
  • Commonly used for venous thromboembolism and prevention of embolism with prosthetic heart valves or atrial fibrillation
  • Adjustments based on the international normalization ratio (INR)
    • Typical therapeutic range 2 " “3
    • 2.5 " “3.5 for mechanical valves and antiphospholipid syndromes
  • Contraindications include any condition in which the risk of hemorrhage or adverse reaction outweighs clinical benefit
    • Prior hypersensitivity
    • Skin reactions
    • Recent surgeries
    • Active or potential GI, intracerebral, or genitourinary bleeding
    • Fall risk

Etiology


  • Bleeding complications:
    • 15% of patients/yr
      • 4.9% major bleeding events
      • Up to 0.8% fatal, most commonly intracranial hemorrhage (ICH)
    • Bleeding risk is directly related to INR
      • Increases dramatically above 4
  • Risk factors for nontherapeutic INR:
    • Age >75 yr
    • Hypertension, cerebrovascular disease, severe heart disease
    • Diabetes, renal insufficiency
    • Alcoholism or liver disease
    • Hypermetabolic states, fever
    • Hyperthyroidism
    • Cancer
    • Collagen vascular disease
    • Hereditary warfarin resistance
    • Cytochrome P450 polymorphism

Common Interactions
‚  
View LargeIncrease INRDecrease INRMultiple antibioticsCarbamazepineNSAIDsBarbituatesAmiodoroneRifampinPropranololHaloperidolPrednisoneSt. John wortCimetidineHigh vitamin K foodsGrapefruit, garlicGinko biloba
  • Pregnancy class X
  • Crosses the placenta causing spontaneous abortion and birth defects

Diagnosis


Signs and Symptoms


  • Presentation may be occult or dramatic:
    • High index of suspicion required to detect potentially life-threatening complications
  • Subtherapeutic/low INR: Breakthrough thrombosis
  • Therapeutic and supratherapeutic: GI, CNS, retroperitoneal bleeding
  • Skin necrosis and limb gangrene:
    • Classic lesions of warfarin skin necrosis and limb gangrene begin on the 3rd " “8th day of therapy
    • Capillary thrombosis in subcutaneous fat (skin necrosis) and obstruction of venous circulation of the limb (limb gangrene)
    • Often associated with protein C deficiency
    • Eschar in center differentiates lesions from ecchymosis
  • Intentional overdose
    • May be asymptomatic
    • Superwarfarin (rat poison) can result in prolonged bleeding risk (months)
    • Follow serial INR
    • Do not start vitamin K empirically, may mask late development of INR elevation
    • Consider activated charcoal

Essential Workup


  • Thorough history:
    • Many chief complaints are complicated by anticoagulation.
      • Reason for anticoagulation, recent dose changes, compliance, recent INR testing, other prescriptions, over the counter, and alternative medicines
      • Subtle changes in mental status, recent "minor falls, "  or bleeding
  • Check for vital sign abnormalities:
    • Early hemorrhagic shock
    • Hypertension and bradycardia may be secondary to Cushing response in ICH.
    • Cardiac meds often mask important changes in vital signs.
  • Examine carefully for:
    • Pallor, contusions, abrasions, ecchymosis, palpable pulses in affected extremity and skin lesions
    • Check stool for blood.

Diagnosis Tests & Interpretation


Lab
  • PT/PTT/INR:
    • Significant bleeding may occur even in INR therapeutic range.
    • PTT also elevated with toxicity
    • Elevations will be delayed in overdose
  • CBC:
    • Initial HCT inaccurate measure of acute rapid bleeding
    • Platelets:
      • Aspirin and ADP inhibitors/Plavix result in normal platelet levels but qualitative deficits.
  • Electrolytes, BUN, creatinine, LFTs, and glucose:
    • Elevated BUN may indicate blood in GI tract.
    • Coingestants if intentional ingestion
  • Type and cross-match

Imaging
  • Low threshold for CT imaging to detect occult but life-threatening bleeding:
  • Head CT:
    • Minor mechanisms of blunt head trauma without loss of consciousness
    • Detect ICH prior to symptom onset
  • Abdominal CT:
    • Blunt abdominal trauma without significant tenderness
    • Retroperitoneal hemorrhage
    • Solid organ or visceral injury

Differential Diagnosis


  • All causes of bleeding:
    • GI, retroperitoneal, CNS, and traumatic
  • Skin lesions " ”hemorrhagic skin disorders:
    • Hemostatic deficits such as platelet disorders
    • Vascular purpuras including glucocorticoid use, vitamin C deficiency, purpura fulimnans, disseminated intravascular coagulation, Henoch " “Sch ƒ Άnlein purpura, protein C deficiency

Treatment


Pre-Hospital


  • ABCs
  • Treat hypotension with 2 large-bore IV lines and 0.9% NS infusion.
  • Cardiac and pulse oximetry monitoring

Initial Stabilization/Therapy


  • Establish central IV access for hypotension not responsive to initial fluid bolus:
    • Compressible sites only
  • Replace lost blood as soon as possible
    • Initiate with O-negative blood until type-specific blood available.
    • 10 mL/kg bolus in children

Ed Treatment/Procedures


  • Specific management depends on the INR, presence of bleeding, reason for anticoagulation, and reliability of patient:
    • INR <5 without bleeding:
      • Lower or omit next dose.
      • Recheck INR in 24 hr.
    • INR ≥5 " “<9 without bleeding:
      • Omit next 1 or 2 doses or omit 1 dose and give 1 " “2.5 mg PO vitamin K.
      • If at increased risk for bleeding or pre-op, then administer vitamin K
        1 " “5 mg PO, INR will be lowered in 24 hr.
      • Recheck INR in 24 hr.
    • INR ≥9 without significant bleeding:
      • Hold warfarin and give vitamin K 2.5 " “5 mg PO; INR will be substantially lowered in 24 " “48 hr
    • INR >20 with minor bleeding or life-threatening bleeding regardless of INR:
      • Hold Warfarin
      • Vitamin K 10 mg by slow IV infusion
      • Fresh frozen plasma (FFP) or prothrombin complex concentrate (PCC) depending on volume status and availability
      • PCC shows faster INR reversal and hemostasis; however, no clear benefit has been shown in patient outcome
      • PCC preferred in cases of ICH, volume overload, or massive bleeding.
  • In the setting of controlled bleeding, maintain the INR at the lower level of therapeutic efficacy:
    • 1.5 " “2 for atrial fibrillation
    • 2 " “2.5 with mechanical heart valves
  • Starting reversal agents before transferring patient leads to better outcomes

Medication


  • Vitamin K1phytonadione:
    • Side effects:
      • Anaphylaxis with IV >> IM or PO
      • SC absorption unpredictable
      • IM administration may result in hematoma formation.
      • Breakthrough thromboembolism with complete correction, prolonged risk if high dose vitamin K
    • 10 mg IV infusion over 10 " “30 min is recommended for life-threatening active bleeding with effects beginning in 1 " “2 hr
  • FFP:
    • Traditionally 3 " “4 U of FFP (1 L) are given to control continued bleeding in the short term without excessive risk of thromboembolism.
    • Additional units may be necessary
    • Follow serial INR closely
    • Patient response is variable and may not correlate with correction of the INR.
    • Side effects:
      • Fluid overload
      • Virus transmission-rare
      • Transfusion-related acute lung injury (TRALI) " “ rare
  • PCC:
    • Long shelf life and easy reconstitution into a highly concentrated volume (20 mL vs. 1 L of FFP per dose)
    • Rapid reversal without volume overload
    • Side effects:
      • Thrombosis
      • Less virus transmission than FFP
    • Multiple studies show more rapid reversal of INR, reduction bleeding compared to FFP
    • Relationship to patient outcome has not been demonstrated
    • 4-factor PCC (Kcentra) is a fractionation product of FFP containing equal amounts of factors II, VII, IX, and X:
      • FDA approved in 2013, not widely available
      • For patients with an INR of 2 " “3.9, administer 25 U/kg, 4 " “5.9, 35 U/kg, and >6, 50 U/kg
    • 3-factor PCC (Bebulin-VH, Profilnide-SD) contains very little factor VIIa:
      • Some use in combination with VIIa or VIIa alone depending on availability
      • 50 U/kg PCC and 1 " “2 mg FVIIa has been suggested
      • Consider FFP supplementation of FVIIa unavailable
      • More widely available in US
      • Warfarin reversal is off label use

Follow-Up


Disposition


Admission Criteria
  • Active GI, retroperitoneal, or CNS bleeding
  • Anticoagulated trauma patient with evidence of active bleeding requires:
    • Reversal of anticoagulation and blood replacement
    • Early surgical consultation for operative intervention
    • Transport to a level 1 " “trauma center after initial stabilization for definitive care.
  • Skin necrosis and limb gangrene requires admission for anticoagulation with alternative agents in consultation with a hematologist.
  • Subtheraputic patient may require adequate anticoagulation with inpatient heparin or low molecular weight heparin to prevent a breakthrough thromboembolism:
    • Outpatient Lovenox therapy followed by increased warfarin with close follow-up prevents unnecessary hospitalization

Discharge Criteria
  • Asymptomatic reliable patient with a supratherapeutic INR after consideration of:
    • Indication for anticoagulation, reason for supratherapeutic level, underlying comorbidities, overall risk of bleeding, fall risk, social situation, reliability, and availability of follow-up
  • Asymptomatic anticoagulated patient with minor trauma, therapeutic INR, stable hemoglobin, normal imaging studies, and reliable caretakers, can be discharged with close follow-up.

Issues for Referral
  • Patient should follow up with primary care physician or specialist within 24 " “48 hr of discharge for INR check and further warfarin adjustments.
  • Psychiatric referral for intentional overdose

Followup Recommendations


Educate patient on monitoring for signs and symptoms of excessive bleeding and/or new thrombotic event. ‚  

Pearls and Pitfalls


  • Maintain a low threshold for imaging trauma patients on warfarin
  • No vitamin K for an INR <5 without bleeding
  • Vitamin K1 IV may result in fatal anaphylaxis:
    • Use only in patients with INR >20 with minor bleeding, or patients with life-threatening bleeding
      • Administer PO for everyone else.
  • For rapid reversal, FFP is still considered a 1st-line agent
  • 4-factor PCC, or 3-factor PCC/FVIIa should be used in patients with ICH, volume overload, or massive bleed

Additional Reading


  • Ansell ‚  J, Hirsh ‚  J, Hylek ‚  E, et al. Pharmacology and management of the vitamin K antagonists: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest.  2008;133:160S " “198S.
  • Denas ‚  G, Marzot ‚  F, Offelli ‚  P, et al. Effectiveness and safety of a management protocol to correct over-anticoagulation with oral vitamin K: A retrospective study of 1,043 cases. J Thromb Thrombolysis.  2009;27(3):340 " “347.
  • Garcia, ‚  DA, Crowther ‚  MA. Reversal of warfarin: Case-based practice recommendations. Circulation.  2012;125:2944 " “2947.
  • Sarode ‚  R, Matevosyan ‚  K, Bhagat ‚  R, et al. Rapid warfarin reversal: A 3-factor prothrombin complex concentrate and recombinant factor VIIa cocktail for intracerebral hemorrhage. J Neurosurg.  2012;116:491 " “497.

Codes


ICD9


  • 286.59 Other hemorrhagic disorder due to intrinsic circulating anticoagulants, antibodies, or inhibitors
  • V58.61 Long-term (current) use of anticoagulants

ICD10


  • D68.318 Oth hemorrhagic disord d/t intrns circ anticoag,antib,inhib
  • T45.515A Adverse effect of anticoagulants, initial encounter
  • Z79.01 Long term (current) use of anticoagulants

SNOMED


  • 191287000 Hemorrhagic disorder due to circulating anticoagulants (disorder)
  • 278365007 Anticoagulant-induced bleeding (disorder)
  • 293344008 Warfarin adverse reaction (disorder)
  • 170917004 Warfarin side effects (finding)
  • 294881007 Warfarin allergy (disorder)
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