Question

A 70-year-old with chronic AF on apixaban presents with melena and Hgb 8.6 g/dL; endoscopy schedules in 6 hours. What is the appropriate action regarding anticoagulation?

Accepted Answer

Hold apixaban and proceed with endoscopy; consider reversal only if life-threatening bleed

Answer

Continue apixaban at usual dose

Answer

Administer andexanet alfa immediately for reversal regardless of severity

Answer

Switch to warfarin now

Answer

Give vitamin K

Practice question

A 70-year-old with chronic AF on apixaban presents with melena and Hgb 8.6 g/dL; endoscopy schedules in 6 hours. What is the appropriate action regarding anticoagulation?