 Hey guys, my name is Boris. I'm a physician assistant. Today is day eight of our pants review series where we pick a note card at random and we Discuss a quick topic for the physician assistant national certifying exam to review So today's topic is going to be kumadin reversal what agents can be used for kumadin reversal All right And I also have three of them so I'm going to give you guys a few seconds to think of up to three answers for this question What agents can be used for kumadin warfarin kumadin? reversal Okay, three agents that can be used for kumadin reversal are K centra FFP fresh frozen plasma and vitamin K Again, that's K centra, which is clotting factors seven nine and ten K centra or FFP fresh frozen plasma or Vitamin K Now the specifics of this of course, I'm not going to get into Vitamin K takes the longest six to twelve hours, so it depends how you know how bad the PT INR is How much the person is bleeding how quickly you have to reverse the kumadin if it's not too too bad Maybe vitamin K is it? Second would probably be fresh frozen plasma third would be K centra. I'm not a Hematologist. I've never worked in hematology. I don't know exactly the procedures for this But for your pants, you definitely do need to know at least the factors used in warfarin which is kumadin in warfarin and kumadin reversal which is going to be K centra, which is factors nine Sorry seven nine and ten K centra also FFP fresh frozen plasma and also vitamin K