Question

A 76-year-old man on warfarin for atrial fibrillation presents with a large intracerebral haemorrhage and INR 4.0. What is the most appropriate reversal strategy?

Accepted Answer

Administer intravenous vitamin K and prothrombin complex concentrate

Answer

Stop warfarin only

Answer

Administer vitamin K orally

Answer

Administer platelet transfusion only

Answer

No reversal, as reversal increases stroke risk

Practice question

A 76-year-old man on warfarin for atrial fibrillation presents with a large intracerebral haemorrhage and INR 4.0. What is the most appropriate reversal strategy?