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Anticoagulant bleeding — GPhC CRA MCQ

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ModerateAdverse Drug Reactions and SafetyAnticoagulant bleedingGPhC CRA

A patient taking rivaroxaban reports black tarry stools and dizziness. He asks if he should skip tomorrow's dose and see the GP next week. What is the most appropriate action?

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Correct answer: E — Refer urgently for possible gastrointestinal bleeding

Black tarry stools and dizziness suggest clinically significant gastrointestinal bleeding, particularly in an anticoagulated patient. Urgent assessment is required. The pharmacist should not simply provide delayed self-management advice.

Reference: BNF