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Warfarin counselling — GPhC CRA MCQ

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EasyPatient Counselling and Pharmaceutical CareWarfarin counsellingGPhC CRA

A patient newly started on warfarin asks what to do if he develops nosebleeds, black stools or extensive bruising. What would you advise the patient?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Seek urgent advice because these may be signs of excessive anticoagulation or bleeding

Bleeding symptoms in a patient taking warfarin may indicate excessive anticoagulation or a serious bleed. The patient should seek urgent advice and follow anticoagulation clinic instructions. INR monitoring is essential. Self-adjusting vitamin K intake or taking NSAIDs can worsen safety.

Reference: BNF; NICE CKS