A 72-year-old man on Warfarin for atrial fibrillation has an INR of 7.2 on routine testing. He feels well and has no bleeding. What is the most approp...

Question

A 72-year-old man on Warfarin for atrial fibrillation has an INR of 7.2 on routine testing. He feels well and has no bleeding. What is the most appropriate management?

Accepted Answer

Omit Warfarin and give oral vitamin K 1 mg; recheck INR within 24 hours

Answer

Continue current Warfarin dose and repeat INR in 1 week

Answer

Admit for intravenous vitamin K 10 mg and prothrombin complex concentrate

Answer

Switch immediately to a direct oral anticoagulant on the same day

Answer

Stop Warfarin permanently without further action

uk-plab-1 MCQ (SBA): Over-anticoagulation on Warfarin

A 72-year-old man on Warfarin for atrial fibrillation has an INR of 7.2 on routine testing. He feels well and has no bleeding. What is the most appropriate management?