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Anticoagulant bleeding safety — GPhC CRA MCQ

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ModerateAdverse Drug Reactions and Drug SafetyAnticoagulant bleeding safetyGPhC CRA

A patient taking apixaban falls and hits their head. They feel well and ask whether they can just monitor at home. What is the most appropriate action?

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Correct answer: E — Advise urgent medical assessment because head injury on anticoagulation is high risk

Head injury while taking anticoagulants can cause intracranial bleeding even if initial symptoms are mild. Urgent assessment is recommended according to local head injury pathways. Aspirin would increase bleeding risk and does not reverse apixaban. Long interruptions in anticoagulation require prescriber-led risk assessment.

Reference: NICE head injury guidance; BNF