Case 101 – update 3

Further history is sort and her partner confirms the presence of rat poison in the house.

Repeat factor levels show:

Factor II – 24%                         Factor VII – 9%

Factor X – 30%                        Factor V – 101%

Factor VIII – 156%                   Factor IX – 27%

Difenacoum is detected in the plasma

A diagnosis of super warfarin overdose is made.

Question: how should this case be managed?

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