A pre-hospital clinician is reviewing a patient's medication list and notes the patient takes apixaban 5 mg BD, bisoprolol 5 mg OD, and ramipril 10 mg...

Question

A pre-hospital clinician is reviewing a patient's medication list and notes the patient takes apixaban 5 mg BD, bisoprolol 5 mg OD, and ramipril 10 mg OD. The patient has had a mechanical fall. Which of these medications increases the concern level for occult bleeding?

Accepted Answer

Apixaban - as a direct oral anticoagulant it significantly increases bleeding risk, including intracranial and intra-abdominal haemorrhage from apparently minor trauma

Answer

Bisoprolol - beta-blockers cause spontaneous bleeding

Answer

None of these medications affect bleeding risk

Answer

All three medications equally increase bleeding risk

Answer

Ramipril - ACE inhibitors impair platelet function

uk-dipimc MCQ (SBA): DOAC and Occult Bleeding Risk

A pre-hospital clinician is reviewing a patient's medication list and notes the patient takes apixaban 5 mg BD, bisoprolol 5 mg OD, and ramipril 10 mg OD. The patient has had a mechanical fall. Which of these medications increases the concern level for occult bleeding?