A 68-year-old man on warfarin for atrial fibrillation presents with an INR of 6.5 on routine testing. He is asymptomatic with no bleeding. According t...

Question

A 68-year-old man on warfarin for atrial fibrillation presents with an INR of 6.5 on routine testing. He is asymptomatic with no bleeding. According to Australian recommendations, what is the most appropriate management?

Accepted Answer

Omit warfarin for 1-2 doses and resume at a reduced dose when INR therapeutic

Answer

Continue current warfarin dose and recheck INR in 1 month

Answer

Administer 5 mg IV vitamin K immediately

Answer

Reverse with prothrombin complex concentrate

Answer

Stop warfarin permanently

au-amc MCQ (SBA): Warfarin over-anticoagulation

A 68-year-old man on warfarin for atrial fibrillation presents with an INR of 6.5 on routine testing. He is asymptomatic with no bleeding. According to Australian recommendations, what is the most appropriate management?