false
Catalog
Multiprofessional Critical Care Review: Adult (202 ...
Case Study Discussion 4 (ICH)
Case Study Discussion 4 (ICH)
Back to course
Pdf Summary
This document is a case study of a 66-year-old female who presents with a head injury after a fall and is on anticoagulation therapy. Initial labs show a left parietal subdural hematoma and elevated levels of Anti-Xa for apixaban. Concerned about thrombotic complications, no immediate treatment was given. However, a repeat CT scan shows interval growth of the hematoma, and the patient is treated with a 4-factor Prothrombin Complex Concentrate. The document also includes a guideline for the management of patients with spontaneous intracerebral hemorrhage on anticoagulation therapy, recommending immediate discontinuation of anticoagulation therapy and rapid reversal using specific interventions based on the type of anticoagulant. <br /><br />The document presents two multiple-choice questions related to the management of intracerebral hemorrhage. The first question asks about the most appropriate intervention for a patient with a small hemorrhage in the right frontal lobe and a history of atrial fibrillation treated with apixaban, with the correct answer being Prothrombin Complex Concentrate. The second question asks about the most appropriate systolic blood pressure goal for treatment in a patient with an acute right frontal hemorrhage, with the correct answer being 140 mm Hg.<br /><br />Discussion points mentioned in the document include the threshold for CT scanning in patients on anticoagulation therapy, the diagnosis in non-communicative patients, the risks and benefits of early reversal of anticoagulation, the choice of agents for reversal, and the importance of neuromonitoring.
Keywords
head injury
fall
anticoagulation therapy
subdural hematoma
Anti-Xa
thrombotic complications
CT scan
Prothrombin Complex Concentrate
intracerebral hemorrhage
systolic blood pressure goal
Society of Critical Care Medicine
500 Midway Drive
Mount Prospect,
IL 60056 USA
Phone: +1 847 827-6888
Fax: +1 847 439-7226
Email:
support@sccm.org
Contact Us
About SCCM
Newsroom
Advertising & Sponsorship
DONATE
MySCCM
LearnICU
Patients & Families
Surviving Sepsis Campaign
Critical Care Societies Collaborative
GET OUR NEWSLETTER
© Society of Critical Care Medicine. All rights reserved. |
Privacy Statement
|
Terms & Conditions
The Society of Critical Care Medicine, SCCM, and Critical Care Congress are registered trademarks of the Society of Critical Care Medicine.
×
Please select your language
1
English