Unique Plan Description: Idarucizumab Praxbind for Dabigatran (Pradaxa) DTI Reversal
Plan Selection Display: Idarucizumab Praxbind for Dabigatran (Pradaxa) DTI Reversal
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2014-03-10 11:18:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-20 11:01:39
Available at all facilities: Yes

Idarucizumab Praxbind for Dabigatran (Pradaxa) DTI
Laboratory
		Thrombin time to be used for detection of drug only.  This value is not an accurate measure of the level of dabigatran.(NOTE)*
	Thrombin Time
		T;N, Stat, spec type = Blood
	PTT - MH/WH/JE
		T;N, Stat, spec type = Blood
	Partial Thromboplastin Time (PTT) - FH
		T;N, Stat, spec type = Diagnostic Blood
	INR - MH/WH/JE
		T;N, Stat, spec type = Blood
	Prothrombin Time (PT) - FH
		T;N, Stat, spec type = Diagnostic Blood
		T;N, Stat, spec type = Therapeutic Blood
	Fibrinogen Level - MH/WH/JE
		T;N, Stat, spec type = Blood
	Fibrinogen Level - FH
		T;N, Stat, spec type = Blood
	Hemogram
		T;N, Stat, spec type = Blood
	BMP
		T;N, Stat, spec type = Blood
	Thrombin Time
		T+1;N, spec type = Blood
	PTT - MH/WH/JE
		T+1;N, spec type = Blood
	Partial Thromboplastin Time (PTT) - FH
		T+1;N, Timed, spec type = Diagnostic Blood
Medications
	Praxbind
		2.5 gm, IV Push, Q5MIN, STAT, T;N+60, 2 Dose(s)/Time(s)
			Comment: Administer 5 g dose as 2 consecutive 2.5gm infusions over 5 minutes each; second vial should start within 15 min of completion of first vial.  Flush with saline before and after administration of total dose
		In case of OVERDOSE, and ingestion was <= 2 hours, consider:(NOTE)*
	zzActidose Plus Sorbitol 25 g oral suspension
		120 mL, Suspension, By Mouth, Once, STAT
	Actidose with Sorbitol 50 g/240 mL oral suspension
		240 mL, Suspension, By Mouth, Once, STAT
			Comment: Contraindicated with GI bleeding
	Actidose-Aqua 25 g/120 mL oral suspension
		25 gm, Suspension, By Mouth, Once, STAT
	Actidose-Aqua 50 g/240 mL oral suspension
		50 gm, Suspension, By Mouth, Once, STAT

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase