A 63-year-old man on Warfarin for atrial fibrillation presents with melaena and dizziness. His INR is 7.2 and Hb is 8.0 g/dL. What is the most appropr...

Question

A 63-year-old man on Warfarin for atrial fibrillation presents with melaena and dizziness. His INR is 7.2 and Hb is 8.0 g/dL. What is the most appropriate immediate management of his anticoagulation?

Accepted Answer

Give intravenous Vitamin K and prothrombin complex concentrate (PCC).

Answer

Stop Warfarin and observe with no further action.

Answer

Give oral Vitamin K alone and review INR in 24 hours.

Answer

Continue Warfarin and give fresh frozen plasma only.

Answer

Switch immediately to a direct oral anticoagulant.

uk-plab-1 MCQ (SBA): Warfarin-associated bleeding

A 63-year-old man on Warfarin for atrial fibrillation presents with melaena and dizziness. His INR is 7.2 and Hb is 8.0 g/dL. What is the most appropriate immediate management of his anticoagulation?