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Warfarin counselling — GPhC CRA MCQ

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EasyPatient Counselling and Pharmaceutical CareWarfarin counsellingGPhC CRA

A 68-year-old man newly started on warfarin for AF collects his first prescription. He takes paracetamol occasionally and asks what to do if he notices bleeding. His first anticoagulation clinic appointment is booked in 3 days. What would you advise the patient?

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

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Correct answer: D — seek urgent advice for significant bleeding and attend INR monitoring as arranged

Warfarin requires INR monitoring and clear counselling about bleeding signs. Significant bleeding, black stools, blood in urine or prolonged nosebleeds require urgent advice. Patients should not adjust warfarin doses without anticoagulation-clinic direction. They should inform healthcare professionals, including dentists, that they take warfarin.

Reference: BNF; NICE CKS: Anticoagulation