Clinical CPD topic
Anticoagulation: practise, reflect and record
Practise anticoagulation through five clinical cases, review the explanations and build a professional learning record. Recognise the requirement for vitamin K antagonist anticoagulation in patients with mechanical heart valves.
First published · Sources checked
What you’ll work on
- Recognise the requirement for vitamin K antagonist anticoagulation in patients with mechanical heart valves.
- Distinguish reassessment of poor warfarin control from monitoring required after an interacting medicine is introduced.
- Choose appropriate warfarin management for uncomplicated dental extraction and life-threatening bleeding.
Think through a clinical case
Decide how you would approach this case before opening the question session.
A patient with non-valvular atrial fibrillation remains on warfarin. During the past 6 months, time in therapeutic range is calculated at 58% despite appropriate sampling. What is the recommended response?
A case from the UKMLA question bank. The session provides the answer and explanation after your attempt.
From a decision to a learning record
- Test your reasoning. Answer five questions from this topic’s clinical-content library.
- Explore the gaps. Review explanations and use Tutor to work through decisions that need more thought.
- Reflect on application. Describe what you learned and what you would change or investigate.
- Review your evidence. Confirm the activity and time spent, then retain or export your professional record.
Primary sources and further reading
Read the source in the same jurisdiction as your question session.
- Recommendations | Atrial fibrillation: diagnosis and management | Guidance | NICEUK source
- Warfarin monitoring – NHS SPS - Specialist Pharmacy Service – The first stop for professional medicines adviceUK source
- Marevan 0.5mg Tablets and Warfarin 0.5mg Tablets — UK SmPCUK source
- Warfarin Sodium 1mg/1ml Oral Suspension — UK SmPCUK source
- Konakion MM 10 mg/ml / Phytomenadione 10 mg/1 ml solution for injection — UK SmPCUK source
- Eliquis 2.5 mg film-coated tablets — UK SmPCUK source