--- [log in to unmask] wrote:
> This may be old news but.....
> Had a 71 yr old chap in with dysarthria and facial
> weakness no apparent
> limb weakness. On warfarin for IHD. previous TIA.
> Sitting communicating
> with thumbs up and down with all whilst waiting
> cheerfully (!)for a MAU.
> Sudden collapse. virtaul respiratory arrest,
> pinpoint pupils , bilat
> upgoing plantars.... (probably high temperature for
> those academics out
> there) so pontine bleed seemed likely.
> SHO felt dreadful.... 'Should I have given him
> VitK?' she said 'Would that
> have made a difference?' she said
> I said 'ermmmmm......... I am sure it wont have
> done........'
> So Q1 Any evidence for reversing warfarinisation in
> cva?
> what do we think?
Am I missing something here? Surely in the time scale
that Vit K is going to work it wouldn't have made a
difference. If you need to reverse anticoagulation
quickly don't you need to give FFP?
Cheers Fred.
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