Question

A 74-year-old man on Warfarin for atrial fibrillation presents with melaena and hypotension. INR is 5.6. What is the most appropriate immediate management of his anticoagulation?

Accepted Answer

Stop Warfarin and give intravenous vitamin K and prothrombin complex concentrate

Answer

Continue Warfarin and monitor INR

Answer

Stop Warfarin and give oral vitamin K only

Answer

Switch to Aspirin immediately

Answer

Do nothing; correcting INR can wait until after endoscopy

Practice question

A 74-year-old man on Warfarin for atrial fibrillation presents with melaena and hypotension. INR is 5.6. What is the most appropriate immediate management of his anticoagulation?