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High INR without bleeding — GPhC CRA MCQ

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HardCardiovascular TherapeuticsHigh INR without bleedingGPhC CRA

A patient on warfarin phones to say their anticoagulation clinic reported an INR of 6.2. They have no bleeding, no head injury and feel well. What is the most appropriate action?

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

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Correct answer: B — Advise urgent contact with the anticoagulation service for dose withholding and follow-up

An INR above range increases bleeding risk even without current symptoms. Management depends on INR level, bleeding, indication and local anticoagulation protocol, but urgent anticoagulation service input is needed. Aspirin would increase bleeding risk and is not appropriate.

Reference: BNF; MEP