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Reverse Coagulopathy Quiz

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Questions and Answers

What is the recommended reversal agent for heparin-induced coagulopathy?

Protamine (correct)

Vitamin K

Fresh frozen plasma

Recombinant factor VIIa

What is the disadvantage of using fresh frozen plasma to reverse warfarin-induced coagulopathy?

Takes 12 to 24 hours to achieve full effect

Requires a large volume infusion (correct)

Contains variable amounts of clotting factors

Has a high risk of morbidity and mortality

What is the recommended management for patients who sustained a spontaneous primary intracerebral hemorrhage while taking antiplatelet therapy?

Administer prothrombin complex concentrates

Administer platelets

Perform standard care without platelet transfusion (correct)

Administer recombinant factor VIIa

Which of the following is a dose-related risk of prothrombin complex concentrate (PCC)?

Thromboembolism (D) Signup and view all the answers

What is the maximum dose of protamine that should be given to reverse unfractionated heparin (UFH)?

50 milligrams (C) Signup and view all the answers

What is the recommended infusion rate for protamine when reversing heparin or low-molecular-weight heparin (LMWH)?

≤5 milligrams/min (D) Signup and view all the answers

What is the score range for the NIH Stroke Scale?

0 to 42 (D) Signup and view all the answers

Which type of stroke is the NIHSS weighted toward detecting?

Anterior circulation strokes (D) Signup and view all the answers

What is an important scoring rule for proper use of the NIHSS?

Score the first response, not the best response, except item 9 (best language) (B) Signup and view all the answers