Question

A patient with a mechanical heart valve has a target INR of 3.5. Their INR today is 9.2, but they have no signs of bleeding. According to guidelines, what is the most appropriate management?

Accepted Answer

Stop warfarin, restart when INR < 5.0

Answer

Administer intravenous Vitamin K 5mg

Answer

Administer oral Vitamin K 1-2mg

Answer

Administer prothrombin complex concentrate (PCC)

Answer

Continue warfarin at a lower dose

Practice question

A patient with a mechanical heart valve has a target INR of 3.5. Their INR today is 9.2, but they have no signs of bleeding. According to guidelines, what is the most appropriate management?