Question

A 79-year-old woman with atrial fibrillation on warfarin presents with an INR of 8.2 and minor gum bleeding. No major bleeding. What is the appropriate management?

Accepted Answer

Omit warfarin; give oral vitamin K 1-3 mg

Answer

Continue warfarin at lower dose

Answer

Stop warfarin permanently

Answer

Give PCC and IV vitamin K urgently

Answer

Switch to a DOAC immediately

Practice question

A 79-year-old woman with atrial fibrillation on warfarin presents with an INR of 8.2 and minor gum bleeding. No major bleeding. What is the appropriate management?