Prothrombin complex concentrate

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  • Available as Octaplex or Beriplex
  • Blood product that contains factors II, VII, IX, X, protein C, and protein S
  • Dose is usually about 1000 IU for a normal weight person with INR below 3
  • Repeat INR after 15 minutes
  • Used to reverse warfarin or vitamin K deficiency, but not helpful for other coagulopathies and should be avoided if there is a history of HIT