Question

A 73-year-old man on warfarin for atrial fibrillation presents with massive haematemesis and hypotension. His INR is 5.6. What is the most appropriate immediate management of his anticoagulation?

Accepted Answer

Give intravenous vitamin K and prothrombin complex concentrate (PCC)

Answer

Stop warfarin and observe

Answer

Give oral vitamin K only

Answer

Switch from warfarin to a DOAC

Answer

Give platelet transfusion only

Practice question

A 73-year-old man on warfarin for atrial fibrillation presents with massive haematemesis and hypotension. His INR is 5.6. What is the most appropriate immediate management of his anticoagulation?