4th November 2021

A 68 year old woman with diabetes and hypertension presents to A&E with a suspected stroke

A 68 year old woman with diabetes and hypertension presents to A&E with a suspected stroke. Five hours ago she had sudden onset vomiting and a severe headache. She now has acute left-sided hemiballismus. Her CT head confirms a haemorrhagic stroke due to aneurysm rupture. She is taking warfarin 5mg od due to a mechanical heart valve. She is due to take her next dose of warfarin now. What do you do next?

Select the SINGLE most appropriate option from the list below. Select ONE option only.