Anticoagulant bleeding — GPhC CRA MCQ
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Correct answer: C — Seek emergency care now for a suspected gastrointestinal bleed
Melena with systemic symptoms during anticoagulation can represent significant gastrointestinal bleeding and needs immediate assessment of haemodynamics, haemoglobin, renal function and anticoagulant timing. The patient should not self-adjust therapy or delay care for empirical gastroprotection.
Reference: BNF: rivaroxaban: https://bnf.nice.org.uk/drugs/rivaroxaban/