A 70-year-old woman on Warfarin for atrial fibrillation presents with a sudden headache and left-sided weakness. CT head confirms an intracerebral hae...

Question

A 70-year-old woman on Warfarin for atrial fibrillation presents with a sudden headache and left-sided weakness. CT head confirms an intracerebral haemorrhage. INR is 3.6. What is the most appropriate immediate management regarding anticoagulation?

Accepted Answer

Reverse Warfarin with intravenous Vitamin K and Prothrombin Complex Concentrate

Answer

Stop Warfarin and observe

Answer

Give Vitamin K orally only

Answer

Continue Warfarin to prevent ischaemic stroke

Answer

Switch to low-molecular-weight Heparin immediately

uk-plab-1 MCQ (SBA): Warfarin-associated intracerebral haemorrhage

A 70-year-old woman on Warfarin for atrial fibrillation presents with a sudden headache and left-sided weakness. CT head confirms an intracerebral haemorrhage. INR is 3.6. What is the most appropriate immediate management regarding anticoagulation?