Question

A 72-year-old on warfarin for mechanical aortic valve has INR 6.5, minor gum bleeding, no haemodynamic compromise. Next step?

Accepted Answer

Omit warfarin and give oral vitamin K 1-2 mg

Answer

Stop warfarin and give IV vitamin K 10 mg

Answer

Continue warfarin and observe

Answer

Prothrombin complex concentrate immediately

Answer

Switch to DOAC

Practice question

A 72-year-old on warfarin for mechanical aortic valve has INR 6.5, minor gum bleeding, no haemodynamic compromise. Next step?