Question 17

17.  You are evaluating a  45 year old patient with a history of recurrent DVT, last was 6 years ago and has a greenfield filter.  He is on warfarin.  He was just involved in a motor vehicle collision and has a large subdural hematoma with a  3 mm midline shift.  His INR is 5.5.  Which of the following is the best immediate intervention.

A.   Order a follow up head CT for 12 hours from now to see if it has progressed.

B.  Intubate the patient and hyperventilate the patient.  This has been shown to decrease intracranial pressure.

C.  Give the patient 10 mg of Vitamin K and 2 units of Fresh Frozen Plasma

D.  Give the patient Protamine right away.