see: [Dunn's clotting factor replacement](x-devonthink-item://1BC22B6F-8634-47D6-8C7E-BE2827AD7DC9), [[cryoprecipitate]], [[Prothrombinex]], [[Massive blood transfusion]]
> rh compatibility not required
- use for acute reversal in active bleeding
- ==initial dose of 1 unit if [[Prothrombinex]] is used== (150-300mL )
- 2-4 units if PCC not available (15mL/kg)
- does not completely normalise levels of factor IX
- Rh compatibility not required, but ==preferentially does need correct blood group==
- [[Prothrombinex]] does NOT require blood group
**Indications:**
- single factor deficiency in [[Warfarin, DOAC, heparin reversal|warfarin]]
- [[DIC]]
- [[Thrombotic Thrombocytopaenic purpura|TTP]]
- liver disease
**Dose**
- 15mL/kg
- 2 units FFP will usually reverse therapeutic anticoagulation (INR 2-3)
- 4-6 units usually required if INR > 5
- only one unit required if PCC used