A 67-year-old woman arrives at the emergency department with…

A 67-year-old woman arrives at the emergency department with acute bleeding into the back of the throat. A coagulation screen is ordered with the following results: Test Result Reference Range 1:1 Mix With Normal Plasma Prothrombin time (PT) 12 seconds 11–15 seconds   Partial thromboplastin time (PTT) 57 seconds 25–37 seconds 36 seconds (immediate) Fibrinogen 450 mg/dL 150–400 mg/dL   What would be a reasonable next step to perform?