Management of the Over-anticoagulated Patient Case 1
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Question 1 of 3
1. Question
A 56 year old gentleman presents to the ED with a 3 hour history of severe epigastric pain. He tells you that he had a left total knee replacement 5 days ago and has been on a new drug called dabigatran 220mg once daily. He has also been taking ibuprofen 400mg three times a day bought over the counter.
His heart rate is 120, BP 70/40, RR 28, temp 36.8. He feels dizzy on standing. On examination he has severe epigastric tenderness with signs of peritonism. There are no signs of septic arthritis.
Assuming his airway is patent, his breathing is clear and he is on high flow oxygen, which one of the following is not part of his initial management?
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Question 2 of 3
2. Question
What else would you like to know from the history?
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Question 3 of 3
3. Question
Which one of the following tests would be appropriate given he has been on Dabigatran?
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