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Head injury on anticoagulant — GPhC CRA MCQ

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HardAdverse Drug Reactions and SafetyHead injury on anticoagulantGPhC CRA

A 73-year-old woman taking apixaban reports a fall with head injury, no loss of consciousness and a mild headache. She asks whether observation at home is enough. What is the most appropriate action?

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Correct answer: DRefer urgently for assessment because anticoagulation increases intracranial bleeding risk

Head injury in a patient taking an anticoagulant requires urgent assessment because intracranial bleeding can occur even with initially mild symptoms. The patient should not be managed solely with home observation from the pharmacy. Analgesia and anticoagulant interruption should be decided by clinicians.

Reference: NICE head injury guidance; BNF