Question

A 78-year-old man on warfarin (INR 2.8) for AF presents with massive haematemesis and hypotension. What is the most appropriate immediate reversal strategy for anticoagulation?

Accepted Answer

IV vitamin K plus four-factor prothrombin complex concentrate (PCC)

Answer

Stop warfarin and give oral vitamin K only

Answer

Stop warfarin; no reversal needed

Answer

Fresh frozen plasma alone

Answer

Protamine sulfate IV

Practice question

A 78-year-old man on warfarin (INR 2.8) for AF presents with massive haematemesis and hypotension. What is the most appropriate immediate reversal strategy for anticoagulation?