A 66-year-old man with atrial fibrillation on Warfarin presents with epistaxis and an INR of 5.2. He is haemodynamically stable, and the bleeding stop...

Question

A 66-year-old man with atrial fibrillation on Warfarin presents with epistaxis and an INR of 5.2. He is haemodynamically stable, and the bleeding stops with local measures. According to Canadian antithrombotic management guidance, what is the most appropriate next step?

Accepted Answer

Hold Warfarin temporarily and administer oral vitamin K 1-2 mg

Answer

Continue his current Warfarin dose and recheck the INR in 1 week

Answer

Give intravenous vitamin K 10 mg and prothrombin complex concentrate

Answer

Stop Warfarin permanently and switch to aspirin

Answer

Reverse Warfarin fully and admit to ICU

ca-mccqe1 MCQ (SBA): Warfarin-associated over-anticoagulation

A 66-year-old man with atrial fibrillation on Warfarin presents with epistaxis and an INR of 5.2. He is haemodynamically stable, and the bleeding stops with local measures. According to Canadian antithrombotic management guidance, what is the most appropriate next step?