Question

A 64-year-old woman on Warfarin for atrial fibrillation presents with melaena and dizziness. Her blood pressure is 88/54 mmHg, pulse 120 bpm, and she looks pale and clammy. Her INR is 4.5. What is the most appropriate immediate management?

Accepted Answer

Stop Warfarin and give IV Vitamin K plus Prothrombin Complex Concentrate

Answer

Give oral Vitamin K and review in the morning

Answer

Continue Warfarin but transfuse red cells only

Answer

Switch Warfarin to a DOAC and discharge

Answer

Give Aspirin 300 mg to prevent stroke

Practice question

A 64-year-old woman on Warfarin for atrial fibrillation presents with melaena and dizziness. Her blood pressure is 88/54 mmHg, pulse 120 bpm, and she looks pale and clammy. Her INR is 4.5. What is the most appropriate immediate management?