You are working in the Emergency Unit

You are working in the Emergency Unit when an elderly man is brought in by an ambulance. He has been in a car accident where he sustained a fracture which will need to be corrected in the operating theatre. He states that he takes Warfarin and that he bleeds a lot if he gets injured. In regard to his planned operation, knowing that he is taking warfarin which of the following option will be the most likely outcome: 1.The operation will be postponed for 5 days to allow the warfarin to leave his body, and he will be given subcutaneous (s/c) enoxaparin for these 5 days. 2.He will be taken to the operating theatre immediately as this is an emergency- the surgeon will deal with the clotting issues during the operation. 3.He will be given an intravenous (IV) injection of Vitamin K, and then taken to the operating theatre. 4.He will be given an intravenous (IV) injection of Protamine Sulfate, and then taken to the operating theatre.

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