A 72-year-old woman with a history of atrial fibrillation, currently treated with apixaban, presents to the Emergency Department after a fall. She hit...

Question

A 72-year-old woman with a history of atrial fibrillation, currently treated with apixaban, presents to the Emergency Department after a fall. She hit her head but had no loss of consciousness. Her GCS is 15/15 and neurological examination is normal. A CT head is performed which is normal. According to NICE head injury guidelines, what is the most appropriate management regarding her anticoagulation?

Accepted Answer

Withhold apixaban for 24 hours

Answer

Continue apixaban as normal

Answer

Withhold apixaban for 12 hours

Answer

Reverse apixaban with andexanet alfa

Answer

Switch apixaban to warfarin

ukmla MCQ (SBA): Head Injury on Anticoagulation