A 65-year-old woman with atrial fibrillation on Warfarin presents with spontaneous bruising. Her INR is 9.0 but she has no active bleeding. According ...

Question

A 65-year-old woman with atrial fibrillation on Warfarin presents with spontaneous bruising. Her INR is 9.0 but she has no active bleeding. According to BNF guidance, what is the most appropriate management?

Accepted Answer

Stop Warfarin and give oral Vitamin K

Answer

Continue Warfarin at the same dose and recheck INR in 1 week

Answer

Give Prothrombin complex concentrate immediately

Answer

Switch immediately to a DOAC without further action

Answer

No action is required if there is no bleeding

uk-plab-1 MCQ (SBA): Warfarin over-anticoagulation

A 65-year-old woman with atrial fibrillation on Warfarin presents with spontaneous bruising. Her INR is 9.0 but she has no active bleeding. According to BNF guidance, what is the most appropriate management?