ACS altered concious state Flashcards
1
Q
man 70 , P/W daughter with increasing confusion over 1/52 ,lives alone , pmh : AF , IHD , HTN , medications : indapamide , ramipril , atorvastatin , metoprolol , warfarin
CT head : shows large right SDH with sever mass effect
List 5 further IX you would perform on this patient and the justification for each ?
A
1- INR /APTT : starting point of warfarin reversal
2- FBC : evaluate platelets /thrombocytopenia
3- ECG : arrhythmias , block
4- urine MCS : UTI as a cause of confusion
5- CT c spine : exclude associated other injuries .
2
Q
State your mx regarding warfarin reversal , include end point
A
stop warfarin prothrombinex 50 units /kg IV FFP 2 units Vit K 10 mg IV aim for INR<1.5
