Xarelto (Rivaroxaban) – Case Review – Focus Blocks

Xarelto (Rivaroxaban) is a Direct Thrombin Inhibitor Anticoagulant commonly known as a blood thinner. Xarelto is used orally to reduce the risk of stroke and blood clots in people with atrial fibrillation (not caused by a heart valve problem).  Like similar “blood thinners,” Xarelto carries the inherent risk of internal bleeding side effects.

Our Case Review Focus Areas:

  • Whether the patient was prescribed Xarelto? Reason (Non-valvular Atrial fibrillation) for the prescription?

  • Was the patient using other oral anticoagulants (Warfarin/Coumadin, Pradaxa, Heparin, Plavix, Aspirin, NSAIDs) prior to being placed on Xarelto?

  • Did the patient have any pre-existing conditions, allergies, or contraindications to Xarelto?

  • Dosage and Intake details (Included under pharmacy log)

  • What injury (Bleeding, Adverse GI reactions, Hypersensitivity) occurred as a result of taking Xarelto? How did the injury occur? (eg. Fall resulting in bleeding)

  • Did the patient die? What was the cause of death? Was it due to bleeding? Is the death certificate available?

  • When and where was the injury diagnosed? If a hospitalization was required, what were the dates of hospitalization?

  • What was the associated treatment/management? If there were any complications, what they were?

  • What follow-up visits for treatment/management of injury occurred if any?

  • What anticoagulant therapy/type/medication name was used after Xarelto?

  • What is the outcome and/or prognosis? Was there a resolution of the injury?

  • Did the patient have a medical history of Atrial Fibrillation, Stroke, Embolism, DVT, etc?

  • Did the patient have any pre-existing conditions (>75 years old, Kidney problems, internal bleeding issues), allergies or contraindications for Xarelto use?

Specific Focus

Identify and report cases with the following scenarios:-

  • No Injuries: Patient took Xarelto but did not develop any injuries

  • No Xarelto intake: The patient was not given Xarelto. Hold case and communicate to the client.

  • Xarelto contraindicated inpatient but still prescribed

  • Any medical/surgical history, social history that could have had an effect on the injury

Submit Case

If you have a case to be reviewed and summarized, please reach out to us at 610-674-6901 or email us at [email protected]

Published On: February 22, 2021 / Categories: Dangerous Drugs /