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Case#5 11/26/07
The bleeding Brain on Warfarin
A 58 y/o female on warfarin for atrial fibrillation presents after tripping and hitting her head into the kitchen cabinet. She complains of a headache. Neurological exam is non-focal, vital signs are normal, but her headache is severe. You order a CT scan, and consider reversal of anticoagulation.
1. How long does vitamin K take to work? What is the difference between oral, subcutaneous and IV?
2. Should you order FFP or Cryoprecipitate?
3. What are the other options to reverse this coagulopathy?
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Previous Articles
Trauma (11/20/07)
Neurological (11/13/07)
Pediatric (11/12/07)
Cardiovascular (10/29/07)
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