Neonatal Intensive Care Drug Manual




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Drug interactions

Paracetamol, non-steroid anti-inflammatory drugs, alprostadil, thrombolytic agents, vitamin A may increase the risk of bleeding.

Adverse reactions

Haemorrhage and haematoma formation.

Heparin-induced thrombocytopenia (HIT).

Osteoporosis.

Cholestatic liver reaction and elevation of transaminases.

Hyperaldosteronism can occur after prolonged administration.8
Treatment of Heparin-Induced Bleeding: (1) cease heparin and (2) if immediate reversal is required, administer protamine sulfate. The required dose of protamine sulfate is based on the amount of UFH received in the previous 2 hours as follows:1



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Neonatal Intensive Care Drug Manual

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