Question

A 74-year-old on warfarin (INR 3.5) presents with sudden headache and left hemiparesis. CT shows a right lobar intracerebral hemorrhage. What is the best immediate reversal strategy?

Accepted Answer

Four-factor prothrombin complex concentrate (4F-PCC) plus IV vitamin K

Answer

Fresh frozen plasma 2 units plus oral vitamin K

Answer

IV vitamin K alone

Answer

Andexanet alfa infusion

Answer

Idarucizumab IV bolus

Practice question

A 74-year-old on warfarin (INR 3.5) presents with sudden headache and left hemiparesis. CT shows a right lobar intracerebral hemorrhage. What is the best immediate reversal strategy?