Question 212 · LEK · Anticoagulants

A patient was admitted to the surgical ward in duty hours. The patient needs urgent surgery but he receives chronic anticoagulant therapy with vitamin K antagonist (VKA). Which of the following should be used to reverse VKA action promptly?

  1. A. platelet concentrate.
  2. B. fresh frozen plasma.
  3. C. serum albumin.
  4. D. vitamin K intravenously.
  5. E. A and D are correct.
Hint

Vitamin K needs hours to work; think of what directly supplies the missing vitamin K-dependent clotting factors.

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