Question

A 67-year-old man with non-valvular atrial fibrillation is on Warfarin. He presents with painful swollen calf and ultrasound confirms a new DVT. INR is 1.4. What is the most appropriate immediate management?

Accepted Answer

Start therapeutic low molecular weight heparin and optimise Warfarin to target INR

Answer

Continue Warfarin at the same dose

Answer

Increase Warfarin dose only

Answer

Stop Warfarin and provide no anticoagulation

Answer

Switch immediately to antiplatelet therapy alone

Practice question

A 67-year-old man with non-valvular atrial fibrillation is on Warfarin. He presents with painful swollen calf and ultrasound confirms a new DVT. INR is 1.4. What is the most appropriate immediate management?