Treatment of anticoagulant rodenticide poisoning must
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The treatment of anticoagulant rodenticide poisoning aims to correct the hypovolaemia and coagulopathy. A whole blood or plasma tranfusion provides immediate access to vitamin K dependent clotting factors and helps to restore blood volume<sup>1-9</sup>. This may need to be followed with larger volumes of crystalloids to compensate for large volumes of fluid loss. The specific treatment of anticoagulant rodenticide toxicosis is administration of vitamin K<sub>1</sub>. This is given as a subcutaneous loading dose at 5mg/kg, and is followed by oral or subcutaneous administration at 1.25-2.5mg/kg once daily, for 1-6 weeks. If given ''per os'', giving a small amount of fat such as canned dog food aids absorption<sup>7</sup>. Intravenous administration of vitamin K<sub>1</sub> is contraindicated as anaphylactic reactions may occur. Treatment with vitamin K<sub>3</sub> is also contraindicated as it is not efficatious in the face of anticoagulant rodenticide toxicity.
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be supportive in nature and is directed at correcting the
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hypovolaemia and coagulopathy. Fresh blood or plasma
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will help to correct the hypovolaemia and enhance
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haemostasis by restoring depleted clotting factors.
Vitamin K1 (5 mg/kg) should be given as a loading dose
Vitamin K1 (5 mg/kg) should be given as a loading dose
subcutaneously at multiple sites, followed by subcutaneous
subcutaneously at multiple sites, followed by subcutaneous