A 57-year-old man with long-standing hypertension and atrial fibrillation is admitted with melaena and hypotension. He is taking Warfarin with an INR ...

Question

A 57-year-old man with long-standing hypertension and atrial fibrillation is admitted with melaena and hypotension. He is taking Warfarin with an INR of 3.5. After resuscitation and endoscopy, the source of bleeding is controlled. Which medication-related step is most appropriate once he is stabilised?

Accepted Answer

Restart anticoagulation once haemostasis is secure and bleeding risk is acceptable

Answer

Permanently stop Warfarin

Answer

Switch Warfarin to Aspirin

Answer

Continue Warfarin at the same dose without interruption

Answer

Give prophylactic low molecular weight heparin only

uk-plab-1 MCQ (SBA): Anticoagulation after gastrointestinal bleeding