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?

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

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

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OpenLabyrinth
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  • In 20 minutes
  • Τεστ ταυτοποίησης της γλυκόζης
  • Allow the family member to stay on screen without clarifying their role
  • In 1 year
  • Exercise more and eat a healthy diet
  • Ask the victim how they are feeling
  • Laboratorio de alimentos
  • Furosemide (loop diuretic)
  • огляд постраждалого
  • Απομόνωση DNA: Πειραματικά αντιδραστήρια
  • Start
  • 3
  • Inicio
  • Hi, I can’t see you well.
  • Metabolismul și enzimele
  • Budesonide/formoterol
  • go to espresso house
  • Budesonide (glucocorticoid)/formoterol (LABA)
  • new node
  • Request permission to record without explaining privacy
  • Root Node
  • If you use antacids, it is better to take them at least two hours apart of taking any other medication
  • go to a local cafe
  • Θεωρείς ότι δεν έχει κάτι σημαντικό. Την στέλνεις σπίτι.
  • Title
  • Oče reče sinu.
  • Inicio
  • check the meningeal signs
  • Furosemide
  • Give an immediate diagnosis without exploring the patient’s narrative
  • Start
  • Ignore the wound complaint and focus solely on blood glucose
  • Taking Medical History
  • Low molecular weight heparin
  • As A doctor
  • Stagiu de practică în Laboratorul de criminalistică
  • Verify patient identity and obtain e-consent before starting.
  • Rivaroxaban (Factor Xa inhibitor)

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