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DOAC bleeding action — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsDOAC bleeding actionGPhC CRA

A 70-year-old man taking rivaroxaban 20 mg daily for atrial fibrillation reports black, tarry stools and increasing tiredness. He asks whether he should buy iron tablets. He is otherwise well enough to speak in full sentences. What is the most appropriate action?

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Correct answer: E — Advise urgent same-day medical assessment

Black, tarry stools in a patient taking an anticoagulant may indicate gastrointestinal bleeding. This requires urgent medical assessment and should not be managed as simple iron deficiency at the pharmacy counter. Dose changes to anticoagulants should be made by an appropriate prescriber after review.

Reference: BNF; NICE CKS