PathWays Case Study for July 28

A 53-year-old male with congestive heart failure and atrial fibrillation presents with a groin hematoma/abscess from a recent cardiac catherization.  Admission INR is 2.7 secondary to Coumadin.  He has no prior history of bleeding (other than recent iatrogenic hematoma). He is slated for an incision and drainage once the INR is 1.5 or less.Several days later, after discontinuation of Coumadin, 6 mg IV vitamin K, 8 units of fresh frozen plasma, and 13 U/kg Bebulin, the INR remains elevated at 1.7, while the PTT is now within normal range.

 

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Carrie Bowler

Carrie Bowler, MS, MLS(CM)
Education Program Coordinator, DLMP Education
Mayo Clinic
Instructor in Laboratory Medicine and Pathology,
Mayo Clinic College of Medicine

 

 

Dr. Justin Kreuter

Justin Kreuter, M.D.
Consultant, Division of Transfusion Medicine
Mayo Clinic
Instructor in Laboratory Medicine and Pathology,
Mayo Clinic College of Medicine

 

 

 

apriljosselyn

April Josselyn

April Josselyn is a Marketing Associate at Mayo Medical Laboratories. She is the editor of Mayo Clinic PathWays and supports corporate communications strategies and internal communications. She has worked at Mayo Clinic since 2012. Outside of work, April enjoys the outdoors and being "hockey mom" for her two sports-crazed boys.