pt on warfarin,inr-7,presents with ischemic infarct-
next step
take him off warfarin, give vit k. also heparin
its ischemic infarct not hemorrhagic...
may be bolus infusion of heparin and increase the dose of warfarin ( take out any medicine that is making warfarin less effective if possible )
and also add aggrenox to his meds