Anticoagulation Problems

Some children with congenital heart disease are on anticoagulant therapy to prevent shunt occlusion or thrombosis of surgically implanted valves or grafts. The risk of serious bleeding is small with routine emergency department visits, but must be considered for any elective repair of fractures or lacerations. Prothrombin time and the international normalized ratio (INR) must be monitored. Reversal of anticoagulation with the administration of either vitamin K or fresh-frozen plasma should be undertaken only after consultation with a pediatric cardiologist.

Your Heart and Nutrition

Your Heart and Nutrition

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