Title: TXA Quick Review (submitted by Kortney Morrell, PharmD)<br/>Author: Ashley Martinelli<br/><a href='mailto:1912'>[Click to email author]</a><hr/><table border="1" cellpadding="0" cellspacing="0" style="width:621px;" width="621">
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<strong>Mechanism of Action </strong></p>
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Tranexamic Acid (TXA) is an antifibrinolytic agent that is a competitive inhibitor of plasminogen activation, and a non-competitive inhibitor of plasmin </p>
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Inhibits the breakdown of fibrin mesh allowing clot formation</p>
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Vial Concentration: 1000mg/10 mL </li>
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<strong>When is it Indicated? </strong></p>
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<strong>Epistaxis/Oral Bleeds/Fistula Bleeds</strong></p>
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Local application of injectable form of TXA </li>
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<u>Dose</u>: Gauze soaked with 500 mg (5 mL) applied topically to the site of bleeding </li>
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<strong>Trauma</strong></p>
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<u>Criteria for use:</u> Significant hemorrhage or significant risk of hemorrhage in adult trauma patients (SBP <90 mmHg and/or HR >110 bpm) </li>
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<u>Dose:</u> 1g in 100 mL 0.9% NaCl infused over 10 minutes followed by 1g in 100 mL 0.9% NaCl over 8 hours </li>
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<strong>Adverse Reactions </strong></p>
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Generally well tolerated</li>
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GI Disturbances: nausea, vomiting, diarrhea </li>
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Thrombotic Events </li>
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Hypersensitivity reactions: anaphylaxis and anaphylactoid reactions </li>
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Hypotension following rapid injection (maximum rate is 100 mg/minute) </li>
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