Wednesday, April 11, 2018

Half life of Protamine

Q: The half life of protamine is?

A) 5 minutes
B) 15 minutes
C) 30 minutes
D) 60 minutes
E) It correlates with heparin level in the plasma


Answer: A

Protamine is a known reversal of heparin. It has a very short  half-life of about five minutes. This information is clinically significant as recurrent anticoagulation may occur after initial reversal of heparin, and may require re-dosing of protamine. 



Reference:

Butterworth J, Lin YA, Prielipp RC, Bennett J, Hammon JW, James RL. Rapid disappearance of protamine in adults undergoing cardiac operation with cardiopulmonary bypass. .Ann Thorac Surg. 2002 Nov;74(5):1589-95.

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