Question

A 60-year-old patient taking long-term warfarin for atrial fibrillation requires a dental extraction. Their current INR is 2.8 (target range 2.0-3.0). What is the most appropriate advice regarding their warfarin management for the procedure according to BNF/NICE guidance?

Accepted Answer

Continue warfarin and perform extraction with local haemostatic measures

Answer

Stop warfarin 5 days before the procedure

Answer

Reduce warfarin dose for 3 days before the procedure

Answer

Bridge with low molecular weight heparin (LMWH)

Answer

Check INR on the day of procedure only

Practice question

A 60-year-old patient taking long-term warfarin for atrial fibrillation requires a dental extraction. Their current INR is 2.8 (target range 2.0-3.0). What is the most appropriate advice regarding their warfarin management for the procedure according to BNF/NICE guidance?