A 71-year-old man on warfarin for atrial fibrillation presents with a spontaneous intracerebral haemorrhage. INR is 3.5. According to Canadian stroke ...

Question

A 71-year-old man on warfarin for atrial fibrillation presents with a spontaneous intracerebral haemorrhage. INR is 3.5. According to Canadian stroke best practice and anticoagulation reversal guidance, what is the most appropriate immediate management of his anticoagulation?

Accepted Answer

Administer IV vitamin K and 4-factor prothrombin complex concentrate

Answer

Stop warfarin only and observe

Answer

Administer vitamin K orally

Answer

Administer fresh frozen plasma alone

Answer

Switch immediately to a direct oral anticoagulant

ca-mccqe1 MCQ (SBA): Warfarin-associated intracerebral haemorrhage

A 71-year-old man on warfarin for atrial fibrillation presents with a spontaneous intracerebral haemorrhage. INR is 3.5. According to Canadian stroke best practice and anticoagulation reversal guidance, what is the most appropriate immediate management of his anticoagulation?