Question

A 70-year-old man on warfarin for atrial fibrillation presents with melaena and hypotension. His INR is 6.5. What is the most appropriate immediate management of his anticoagulation?

Accepted Answer

Administer intravenous vitamin K and prothrombin complex concentrate

Answer

Withhold warfarin only

Answer

Give oral vitamin K 1 mg

Answer

Switch from warfarin to a direct oral anticoagulant

Answer

Give fresh frozen plasma alone

Practice question

A 70-year-old man on warfarin for atrial fibrillation presents with melaena and hypotension. His INR is 6.5. What is the most appropriate immediate management of his anticoagulation?