Question

A 70-year-old woman on warfarin for atrial fibrillation requires a dental extraction. Her target INR range is 2.0-3.0. Her INR today, 24 hours before the procedure, is 2.8. According to guidance on managing anticoagulation for dental procedures, what is the most appropriate advice?

Accepted Answer

Continue warfarin, proceed with extraction, use local haemostatic measures

Answer

Stop warfarin 5 days before the procedure

Answer

Reduce warfarin dose for 3 days before the procedure

Answer

Admit for heparin bridging

Answer

Delay procedure until INR is < 2.0

Practice question

A 70-year-old woman on warfarin for atrial fibrillation requires a dental extraction. Her target INR range is 2.0-3.0. Her INR today, 24 hours before the procedure, is 2.8. According to guidance on managing anticoagulation for dental procedures, what is the most appropriate advice?