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Kaplan Qbank USMLE



Author5 Posts
  #1

An 80-year-old man, who is taking warfarin because of a history of atrial fibrillation, presents to the emergency room with a syncopal episode. His stool has been black. His hemoglobin is 65 g/L and INR 7.2. Which one of the following is the best immediate approach to the management of raised INR?

1) vitamin K, 1 mg orally.
2) vitamin K, 10 mg intravenously
3) hold warfarin for 3 days
4) desmopressin (DDAVP)
5) 4 units of fresh frozen plasma



2 or 5? I guess it is mostly 5 because of syncopal episode?


  #2

5.......and u have to give vit K as well....but initial step is to give FFP.....it takes around a week for vit K to normalise the INR.....

  #3

FFPnod

___________________
" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "

  #4

FFP I THINK VIT K IS GIVEN IM STILL ITS EMERGENCY FFP IS RIGHT

  #5

ok ordered FFPsmiling face







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