Rivaroxaban (Factor Xa inhibitor)

Kylie is treated with oral rivaroxaban, which is licenced for the treatment of deep vein thrombosis and pulmonary embolism as monotherapy. She is admitted to the ward. 

24 hours later, she notices red, raised bumps on her abdomen, which cause her a lot of itching and discomfort. The urticarial rash is attributed to rivaroxaban. You recommend starting her on apixaban (factor Xa inhibitor), as it is not known to cross-react with rivaroxaban. Kylie refuses to take this drug as she is afraid to try a new drug. She tells you that her mother used to take warfarin (vitamin K antagonist, anticoagulant) for atrial fibrillation and she would like to be started on that instead. 

What advice would you give Kylie?

  • It is advisable to start aspirin rather than warfarin
  • It is absolutely inadvisable to commence warfarin
  • Warfarin may be commenced but LMWH is also needed initially
  • Warfarin may be commenced as an alternative to apixaban

Map: Kylie Brooks_ORU (1091)
Node: 20607
Score:

reset

OpenLabyrinth
OpenLabyrinth is an open source educational pathway system

Review your pathway

  • Furosemide (loop diuretic)
  • Give Intravenous Antibiotics
  • Presentation
  • Presentación de la profesora y del alumnado
  • Inicio
  • Στέλνετε την ασθενή στο σπίτι της με βασικές συμβουλές για το πώς να διαχειριστεί τον πόνο της.
  • Clonare moleculară
  • Να κάνει ότι δεν τον είδα
  • new node
  • Glipizide
  • Επίσκεψη ρουτίνας στον γενικό γιατρό
  • Τεστ ταυτοποίησης της γλυκόζης
  • Εισαγωγή ασθενούς με επεισόδιο
  • Mrs. Rahma's Knee Dilemma
  • Budesonide/formoterol
  • Call an ambulance
  • new node
  • go to espresso house
  • Emergency Department
  • Budesonide (glucocorticoid)/formoterol (LABA)
  • Presentation
  • Prácticas de laboratorio criminalístico
  • Την στέλνετε σπίτι, επιστρέφει αν εμφανιστούν άλλα συμπτώματα
  • ELECTRON MICROSCOPY
  • Testul emulsiei
  • Request permission to record without explaining privacy
  • go to a local cafe
  • Απομόνωση DNA: Πειραματικά αντιδραστήρια
  • Ramipril (ACE inhibitor)
  • Να κρατήσει απόσταση
  • Εκκίνηση
  • Ask rapid questions using medical jargon (ischemia, necrotic tissue, perfusion).
  • Objective Examination
  • Un microscop care folosește o sursă de lumină pentru a mări obiectele
  • Meeting the patient
  • HeLa cells are naturally resistant to all drugs.
  • Inicio
  • Pertinent Negatives
  • A microscope that uses a fluorescence source to magnify objects
  • check the meningeal signs
  • Presentation
  • Furosemide
  • Hi, I can’t see you well.
  • CELL CULTURE
  • go to espresso house instead
  • Adverse effect to budesonide (glucocorticoid)
  • Give an immediate diagnosis without exploring the patient’s narrative
  • Κάνετε περισσότερες ερωτήσεις - λάμβάνετε λεπτομερές ιατρικό ιστορικό
  • ΜΙΚΡΟΒΙΑΚΗ ΚΑΛΛΙΕΡΓΕΙΑ ΚΑΙ ΑΝΑΠΤΥΞΗ
  • 4.Fatima needs to rest and sleep more
  • Τραχηλικη διογκωση
  • Επιπρόσθετο φίλτρο Αλουμινίου (Al)
  • Ignore the wound complaint and focus solely on blood glucose
  • Emergency Department
  • Jonas tem 30 anos e vive com a mãe em Salónica.
  • new node
  • The Onset
  • Increased LDL uptake in hepatocytes
  • order a capucino and kanelbulle
  • ΕΡΓΑΣΤΗΡΙΑΚΑ
  • o asthennis exei pyreto
  • The Onset
  • ΑΝΑΓΝΩΡΙΣΗ ΒΙΟΜΟΡΙΩΝ
  • Βασικοί ορισμοί ενζύμων
  • new node
  • Key Symptoms
  • Last2
  • Exacerbation of asthma
  • Rivaroxaban (Factor Xa inhibitor)

Reminder

empty_reminder_msg

FINISH

Time is up