Hirudins
Background
- Direct thrombin inhibitors
- Examples: Hirudin, lepirudin, argatroban
- Half-life is ~2hr
Indications
- HIT
- UA/NSTEMI/PCI
Complications
- Bleeding
- Majority of bleeding events occur at invasive sites
- No antidote available
- Minor bleeding
- Stop infusion
- Major bleeding
- Give FFP or PCC
Source
Tintinalli
