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Review Question - QID 212450

Anticoagulants QID: 212450 (M2.OMB.18.4871)
In scope icon M 7 B
QID 212450 (Type "212450" in App Search)
A 67-year-old man presents to the emergency department after a fall. The patient has a past medical history of Alzheimer dementia and multiple falls. He has a prosthetic cardiac valve and is currently on metformin, insulin, lisinopril, warfarin, and metroprolol. Physical exam is notable for a confused elderly man. There is no record of his baseline mental status for comparison. His temperature is 97.5°F (36.4°C), blood pressure is 117/62 mmHg, pulse is 80/min, respirations are 11/min, and oxygen saturation is 99% on room air. Physical exam is notable only for an abrasion on his head. A CT scan of the head is performed as seen in Figure A. Laboratory values are notable for an INR of 3.4 and a platelet count of 50,000/mm^3. Which of the following is the best initial step in management?
  • A
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  • A