A 70-year-old woman with atrial fibrillation on warfarin presents with a mechanical fall and minor head trauma. CT head shows a small subdural haemato...

Question

A 70-year-old woman with atrial fibrillation on warfarin presents with a mechanical fall and minor head trauma. CT head shows a small subdural haematoma. INR is 3.2. She is alert and haemodynamically stable. What is the most appropriate immediate management of her anticoagulation?

Accepted Answer

Administer vitamin K and a 4-factor prothrombin complex concentrate (PCC) to reverse warfarin

Answer

Continue warfarin unchanged

Answer

Switch warfarin to a DOAC immediately

Answer

Withhold warfarin for 24 hours only

Answer

Administer platelets only

ca-mccqe1 MCQ (SBA): Subdural haematoma on warfarin

A 70-year-old woman with atrial fibrillation on warfarin presents with a mechanical fall and minor head trauma. CT head shows a small subdural haematoma. INR is 3.2. She is alert and haemodynamically stable. What is the most appropriate immediate management of her anticoagulation?