Rivoroxaban is a NOAC and is absolutely contra-indicated in this case, as the patient has an acute intracerebral bleed that was most likely caused by this drug.
Prophylactic dalteparin should not be prescribed automatically for this patient by the FY1. Mechanical prophylaxis with alternating compression stockings may be considered. Use of anticoagulation in a patient like this would be a consultant decision.
Prescription of her other routine medications is acceptable, provided that her fluid intake, BM, renal function and blood pressure are being reviewed on a regular basis.
For reference and acknowledgement the CT scan came from this website:
Case courtesy of Dr Frank Gaillard, <a href="http://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="http://radiopaedia.org/cases/2764">rID: 2764</a>
In order to get some prescribing resources out there we intend to publish a series of prescribing problems on the website. The problems will appear at least weekly with the "answers" appearing a couple of days later. We'll use the standard exam stationery available on the LSE, but also available below in case you haven't got access to the LSE.