Update Your Intracerebral Hemorrhage Protocols
July 2022
You’ll be asked about spontaneous intracerebral hemorrhage (ICH) treatment...due to updated guidelines.
Anticoagulant reversal. Use 4-factor prothrombin complex concentrate (Kcentra) for warfarin-related ICH when INR is 1.3 or higher...along with IV vitamin K to reduce risk of INR rebound.
Lean toward Kcentra fixed doses for easier prep and lower cost. Efficacy seems similar to weight-based doses.
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