Question

A 74-year-old man on warfarin for a mechanical aortic valve presents with INR 6.8 and minor gum bleeding. No major bleeding. What is the appropriate management?

Accepted Answer

Omit warfarin; give oral vitamin K 1-2 mg

Answer

Continue warfarin; recheck in a week

Answer

Give IV vitamin K 10 mg

Answer

Administer PCC (prothrombin complex) urgently

Answer

Switch to apixaban

Practice question

A 74-year-old man on warfarin for a mechanical aortic valve presents with INR 6.8 and minor gum bleeding. No major bleeding. What is the appropriate management?