Question

A 75-year-old man on warfarin for atrial fibrillation presents with massive gastrointestinal bleeding and haemodynamic instability. INR is 6.0. What is the most appropriate strategy to reverse anticoagulation?

Accepted Answer

Administer intravenous vitamin K and prothrombin complex concentrate

Answer

Omit warfarin only and observe

Answer

Give vitamin K orally

Answer

Give fresh frozen plasma alone

Answer

No reversal is needed in atrial fibrillation

Practice question

A 75-year-old man on warfarin for atrial fibrillation presents with massive gastrointestinal bleeding and haemodynamic instability. INR is 6.0. What is the most appropriate strategy to reverse anticoagulation?