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Anticoagulant bleeding — GPhC CRA MCQ

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EasyAdverse Drug Reactions and Drug SafetyAnticoagulant bleedingGPhC CRA

A woman taking rivaroxaban reports black tarry stools and dizziness. She asks whether to miss tonight's dose and wait for her routine review. What is the most appropriate action?

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Correct answer: C — Refer urgently for suspected gastrointestinal bleeding

Black tarry stools and dizziness in a patient on anticoagulation suggest possible gastrointestinal bleeding. Urgent medical assessment is required. Dosing decisions should be guided by clinicians once bleeding risk is assessed.

Reference: BNF; NICE CKS