Question

A 68-year-old man on warfarin for non-valvular atrial fibrillation presents after a routine INR check shows a value of 8.0. He feels well and has no bleeding. What is the most appropriate management?

Accepted Answer

Cease warfarin and give 5-10 mg oral vitamin K

Answer

Cease warfarin and withhold vitamin K

Answer

Continue warfarin at the same dose

Answer

Give prothrombin complex concentrate immediately

Answer

Switch to a DOAC immediately without adjusting INR

Practice question

A 68-year-old man on warfarin for non-valvular atrial fibrillation presents after a routine INR check shows a value of 8.0. He feels well and has no bleeding. What is the most appropriate management?