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?
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
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]