A 68-year-old man on warfarin for atrial fibrillation has an INR of 6.0 on routine testing. He has minor gum bleeding but no major haemorrhage. What i...

Question

A 68-year-old man on warfarin for atrial fibrillation has an INR of 6.0 on routine testing. He has minor gum bleeding but no major haemorrhage. What is the most appropriate management?

Accepted Answer

Cease warfarin temporarily and administer low-dose oral vitamin K

Answer

Continue the same warfarin dose

Answer

Give high-dose intravenous vitamin K and prothrombin complex concentrate

Answer

Stop warfarin permanently

Answer

Ignore the result and repeat the INR in 1 month

au-racp MCQ (SBA): Management of high INR on warfarin

A 68-year-old man on warfarin for atrial fibrillation has an INR of 6.0 on routine testing. He has minor gum bleeding but no major haemorrhage. What is the most appropriate management?