A 69-year-old man on warfarin for atrial fibrillation presents with sudden severe headache and confusion. CT head shows a large intracerebral haemorrh...

Question

A 69-year-old man on warfarin for atrial fibrillation presents with sudden severe headache and confusion. CT head shows a large intracerebral haemorrhage. His INR is 3.5. What is the most appropriate immediate management of his anticoagulation?

Accepted Answer

Administer IV vitamin K and prothrombin complex concentrate (PCC)

Answer

Stop warfarin and observe

Answer

Administer vitamin K orally only

Answer

Switch to a direct oral anticoagulant

Answer

Perform therapeutic phlebotomy

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

A 69-year-old man on warfarin for atrial fibrillation presents with sudden severe headache and confusion. CT head shows a large intracerebral haemorrhage. His INR is 3.5. What is the most appropriate immediate management of his anticoagulation?