Clinical CPD topic
Warfarin monitoring: practise, reflect and record
Practise warfarin monitoring through five clinical cases, review the explanations and build a professional learning record. Manage INR above 8 without bleeding and advise safely after a missed warfarin dose.
First published · Sources checked
What you’ll work on
- Manage INR above 8 without bleeding and advise safely after a missed warfarin dose.
- Explain why mechanical prosthetic valves require vitamin K antagonist therapy rather than a DOAC.
- Recognise erythromycin's warfarin-potentiating interaction and plan enhanced INR monitoring when interacting antibiotics are necessary.
Think through a clinical case
Decide how you would approach this case before opening the question session.
A patient taking warfarin has INR 9.2 and no bleeding. What immediate management is recommended?
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.
- Warfarin monitoring – NHS SPS - Specialist Pharmacy Service – The first stop for professional medicines adviceUK source
- GGC Medicines - Reversal of Antithrombotic TherapiesUK source
- Eliquis 2.5 mg film-coated tablets — UK SmPCUK source
- Warfarin Sodium 1mg/1ml Oral Suspension — UK SmPCUK source
- Marevan 0.5mg Tablets and Warfarin 0.5mg Tablets — UK SmPCUK source
- NHS: Warfarin — taking warfarin and missed dosesUK source