Question

A 74-year-old man on long-term Warfarin for atrial fibrillation presents with a large intracranial haemorrhage after a fall. His INR is 4.5. What is the most appropriate immediate management of his anticoagulation?

Accepted Answer

Administer intravenous Vitamin K and prothrombin complex concentrate

Answer

Stop Warfarin and observe

Answer

Administer oral Vitamin K 2 mg only

Answer

Give fresh frozen plasma alone

Answer

Switch him from Warfarin to a direct oral anticoagulant

Practice question

A 74-year-old man on long-term Warfarin for atrial fibrillation presents with a large intracranial haemorrhage after a fall. His INR is 4.5. What is the most appropriate immediate management of his anticoagulation?