Question

A patient taking warfarin for recurrent VTE attends the anticoagulation clinic. Their target INR range is 2.0-3.0. Today's INR is 6.5, but there is no evidence of bleeding. According to NICE CG144 clinical knowledge summary (CKS), what is the most appropriate management?

Accepted Answer

Stop warfarin, give Vitamin K 1-3mg orally, repeat INR next day

Answer

Stop warfarin, give Vitamin K 5mg IV, admit to hospital

Answer

Reduce warfarin dose slightly, repeat INR in 3 days

Answer

Continue warfarin, repeat INR next day

Answer

Stop warfarin, repeat INR next day

Practice question

A patient taking warfarin for recurrent VTE attends the anticoagulation clinic. Their target INR range is 2.0-3.0. Today's INR is 6.5, but there is no evidence of bleeding. According to NICE CG144 clinical knowledge summary (CKS), what is the most appropriate management?