Reversal Agents
Clinical decision support — not a substitute for clinical judgment.
Tap for usage notes.
Patient weight (kg)
kg
lb
≈ 154.3 lb
Choose agent on board
Warfarin / VKA
→ 4F-PCC (KCentra) + Vit K
Apixaban / Rivaroxaban
→ Andexanet OR 4F-PCC
Dabigatran
→ Idarucizumab (Praxbind)
Unfractionated heparin
→ Protamine (units-based)
Enoxaparin / LMWH
→ Protamine (partial)
tPA / TNK bleed
→ Cryo + TXA + plt
4F-PCC (KCentra)
Current INR
Dose
Enter weight
Vit K
10 mg IV over 30 min (slow — anaphylaxis risk)
Plus
Hold warfarin; consider FFP if
PCC
unavailable (10–15 mL/kg)
Dose by INR band:
2–4 → 25 u/kg
,
4–6 → 35
,
>6 → 50
. Cap per band.
— kg
—
— cm
Search
Home
A
A
Small text
Back to top