A 36-year-old man with atrial fibrillation on Warfarin presents with an INR of 7.2 after accidentally double-dosing for several days. He has no bleedi...

Question

A 36-year-old man with atrial fibrillation on Warfarin presents with an INR of 7.2 after accidentally double-dosing for several days. He has no bleeding. According to BNF and anticoagulation guidance, what is the most appropriate immediate management?

Accepted Answer

Stop Warfarin temporarily and give oral Vitamin K, with closer INR monitoring.

Answer

Continue Warfarin at the same dose and recheck INR in a week.

Answer

Give prothrombin complex concentrate immediately.

Answer

Start Aspirin instead of Warfarin.

Answer

Admit all such patients for urgent endoscopy.

uk-plab-1 MCQ (SBA): High INR on Warfarin without bleeding

A 36-year-old man with atrial fibrillation on Warfarin presents with an INR of 7.2 after accidentally double-dosing for several days. He has no bleeding. According to BNF and anticoagulation guidance, what is the most appropriate immediate management?