A 79-year-old woman on Warfarin for AF (target INR 2.0-3.0) is found to have an INR of 8.4 at a routine clinic appointment. She has no active bleeding...

Question

A 79-year-old woman on Warfarin for AF (target INR 2.0-3.0) is found to have an INR of 8.4 at a routine clinic appointment. She has no active bleeding and no bruising. She feels well. What is the MOST appropriate management?

Accepted Answer

Stop Warfarin for 1-2 doses and give oral Vitamin K 1-5 mg; recheck INR in 24-48 hours

Answer

Admit to hospital immediately for fresh frozen plasma

Answer

Continue Warfarin at the same dose and recheck in a week

Answer

Stop Warfarin permanently

Answer

Give intravenous Vitamin K 10 mg

uk-dgm MCQ (SBA): Supratherapeutic INR Without Bleeding - Management

A 79-year-old woman on Warfarin for AF (target INR 2.0-3.0) is found to have an INR of 8.4 at a routine clinic appointment. She has no active bleeding and no bruising. She feels well. What is the MOST appropriate management?