A 73-year-old woman with atrial fibrillation on Warfarin presents with melaena and dizziness. Her blood pressure is 88/50 mmHg, pulse 110/min and she ...

Question

A 73-year-old woman with atrial fibrillation on Warfarin presents with melaena and dizziness. Her blood pressure is 88/50 mmHg, pulse 110/min and she looks pale and sweaty. What is the most appropriate immediate management step?

Accepted Answer

Give 1 L of 0.9% sodium chloride rapidly and arrange urgent senior review

Answer

Arrange an urgent outpatient endoscopy

Answer

Give intravenous Omeprazole and discharge once symptoms settle

Answer

Stop Warfarin but no other interventions are needed

Answer

Prescribe oral iron and arrange GP follow-up

uk-plab-1 MCQ (SBA): Acute upper gastrointestinal bleed

A 73-year-old woman with atrial fibrillation on Warfarin presents with melaena and dizziness. Her blood pressure is 88/50 mmHg, pulse 110/min and she looks pale and sweaty. What is the most appropriate immediate management step?