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HardHaematology / Orthopaedics / AnaesthesiaPerioperative Anticoagulation (DOAC)ukmlapanemrcp part 1mrcem sbaprescribing safety assessment

A 78-year-old woman is admitted following a fall and found to have a fractured neck of femur. Her past medical history includes atrial fibrillation, for which she takes apixaban 5mg BD. Her last dose was taken 10 hours ago. She requires urgent surgery (hip hemiarthroplasty). Her renal function is normal (eGFR > 60). According to guidelines on perioperative management of anticoagulation, what is the most appropriate course of action regarding her apixaban?

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