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

  • Experiment with e-cigarettes
  • METABOLISM OF THE CELL ENZYME
  • Presentation
  • Prueba de identificación de la glucosa
  • IDENTIFICACIÓN DE BIOMOLÉCULAS
  • Προσέγγιση φίλου
  • go to espresso house
  • ELECTRON MICROSCOPY
  • new node
  • Root Node
  • Κόμβος 3
  • 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
  • Να κρατήσει απόσταση
  • Εκκίνηση
  • Title
  • Give an immediate diagnosis without exploring the patient’s narrative
  • Κάνετε περισσότερες ερωτήσεις - λάμβάνετε λεπτομερές ιατρικό ιστορικό
  • Ignore the wound complaint and focus solely on blood glucose
  • Low molecular weight heparin
  • Verify patient identity and obtain e-consent before starting.
  • Rivaroxaban (Factor Xa inhibitor)

Reminder

empty_reminder_msg

FINISH

Time is up