Question

A 72-year-old man on warfarin for atrial fibrillation presents with massive haematemesis and hypotension. INR is 6.5. What is the most appropriate strategy to reverse anticoagulation urgently?

Accepted Answer

Give IV vitamin K plus prothrombin complex concentrate (Prothrombinex)

Answer

Stop warfarin only

Answer

Give vitamin K orally

Answer

Give fresh frozen plasma alone

Answer

No reversal is needed if INR is below 7

Practice question

A 72-year-old man on warfarin for atrial fibrillation presents with massive haematemesis and hypotension. INR is 6.5. What is the most appropriate strategy to reverse anticoagulation urgently?