The Correct Answer is B!
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A 68-year-old woman was brought in by ambulance to the ED after a car accident. She had a laceration of the right upper arm, but bleeding appears to be somewhat controlled with compression alone.
|Medications:||Apixaban 5 mg bid|
Blood pressure is 132/78 mm
HgHR is 88 bpm in AF
|Laboratory results:||CrCl 58 mL/minHGB 12.8 g/dL|
What is your recommendation for managing this patient's bleed?
- Give prothrombin complex concentrate (PCC)
- Continue compression of the site and observe while holding the apixaban
- Infuse idarucizumab 5 mg total
- Transfuse fresh frozen plasma (FFP)
- Proceed with hemodialysis to remove the apixaban
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