Managing a Rivaroxaban Bleed: Understanding the Difficulties in Acute Reversal of the New Oral Anticoagulants through a Case Report

Table 1

Timeline of hospitalization.

Hospital day no.	1	2	3	4	5
Hgb (g/dL)	6.8, 8.3, 7.2, 5.7	5.1, 9, 8.3	9.3, 9.7, 9.2	8.2, 7.8, 9.3	9.5
PT (seconds)	14.1	14.6	12.6
aPTT (seconds)	27.2	21.5	21.9
INR	1.3	1.3	1.1
Intervention	1,800 units of prothrombin complex concentrate, intravenous fluids, and 2 units of packed red blood cells	2.5 mg conjugated estrogen and 2 units of packed red blood cells	Balloon tamponade and 2 units of packed red blood cells	Endometrial ablation and 1 unit of packed red blood cells	Discharge

Hgb: hemoglobin, PT: prothrombin time, aPTT: activated partial thromboplastin time, INR: international normalized ratio.