Question

A 72-year-old man on warfarin for atrial fibrillation presents with massive gastrointestinal bleeding and haemodynamic instability. His INR is 4.5. What is the most appropriate immediate reversal strategy?

Accepted Answer

Prothrombin complex concentrate plus intravenous vitamin K

Answer

Cease warfarin only

Answer

Vitamin K orally

Answer

Fresh frozen plasma alone

Answer

No reversal in case of thrombosis risk

Practice question

A 72-year-old man on warfarin for atrial fibrillation presents with massive gastrointestinal bleeding and haemodynamic instability. His INR is 4.5. What is the most appropriate immediate reversal strategy?