A 72-year-old man on warfarin for atrial fibrillation presents with gastrointestinal bleeding and haemodynamic instability. His INR is 4.5. What is th...

Question

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

Accepted Answer

Administer IV vitamin K and prothrombin complex concentrate

Answer

Stop warfarin only

Answer

Give vitamin K orally

Answer

Administer protamine sulfate

Answer

Switch to DOAC without reversal

au-acem MCQ (SBA): Major bleeding on warfarin

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