Question

A 63-year-old man on Warfarin for atrial fibrillation presents with haematemesis and haemodynamic instability. His INR is 6.5. What is the most appropriate management of his anticoagulation?

Accepted Answer

Stop Warfarin and give intravenous Vitamin K and Prothrombin complex concentrate

Answer

Continue Warfarin and observe

Answer

Give oral Vitamin K only and discharge

Answer

Give platelet transfusion only

Answer

No reversal is possible

Practice question

A 63-year-old man on Warfarin for atrial fibrillation presents with haematemesis and haemodynamic instability. His INR is 6.5. What is the most appropriate management of his anticoagulation?