Key result
IV vitamin K1 normalizes prothrombin time within 1 hour in anticoagulant rodenticide toxicosis.
Why the study?
Intravenous vitamin K1 as an alternative to plasma transfusion for anticoagulant rodenticide toxicosis in dogs requires evaluation for efficacy and safety.
Does intravenous vitamin K1 normalize prothrombin time in dogs with anticoagulant rodenticide toxicosis?
Case Report (n=4)
Does intravenous vitamin K1 normalize prothrombin time in dogs with anticoagulant rodenticide toxicosis?
Intravenous vitamin K1 rapidly normalizes prothrombin time in dogs with anticoagulant rodenticide toxicosis, offering an alternative to plasma transfusion despite a risk of anaphylactoid reactions.
IV vitamin K1 may enable rapid PT correction in rodenticide toxicosis when plasma is unavailable; leaves open safety and efficacy questions for prospective study.
Four dogs with anticoagulant rodenticide toxicosis were treated with intravenous vitamin K1 in lieu of plasma transfusion due to client cost constraints. Two dogs experienced a suspected anaphylactoid reaction, necessitating cessation of the treatment in one dog. Prothrombin time was rechecked 1 h after treatment in the remaining three dogs and all results were within the normal reference range. All four dogs were discharged from hospital within 48 h of presentation. Intravenous vitamin K1 rapidly reverses the coagulopathic state in dogs with anticoagulant rodenticide toxicosis. It is a viable alternative therapy to plasma transfusion if circumstances preclude its use; however, patients must be monitored for anaphylactoid reactions.
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Mooney et al. (2020) conducted a case report in anticoagulant rodenticide toxicosis (n=4). Intravenous vitamin K1 was evaluated on Prothrombin time within normal reference range at 1 hour. Intravenous vitamin K1 normalized prothrombin time within 1 hour in all 3 rechecked dogs with anticoagulant rodenticide toxicosis, though 2 of 4 dogs had suspected anaphylactoid reactions.
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