A 58-year-old man on warfarin for atrial fibrillation presents with spontaneous epistaxis and INR 7.5. He is haemodynamically stable with no other ble...

Question

A 58-year-old man on warfarin for atrial fibrillation presents with spontaneous epistaxis and INR 7.5. He is haemodynamically stable with no other bleeding. What is the most appropriate management?

Accepted Answer

Hold warfarin and give vitamin K orally or intravenously

Answer

Continue warfarin at the same dose

Answer

Administer prothrombin complex concentrate and vitamin K immediately

Answer

Do nothing; INR will normalise spontaneously

Answer

Switch to heparin infusion immediately without reversing warfarin

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

A 58-year-old man on warfarin for atrial fibrillation presents with spontaneous epistaxis and INR 7.5. He is haemodynamically stable with no other bleeding. What is the most appropriate management?