Anticoagulants

Question 1

what would you do if a patient has a major bleed and is on warfarin?

Answer 1

stop warfarin + IV vit K + prothrombin complex concentrate

Question 2

what would you do if a patient has a minor bleed + INR of >8

Answer 2

stop warfarin + IV vit K

restart warfarin once INR <5

Question 3

what would you do if a patient has a minor bleed + INR 5-8?

Answer 3

stop warfarin + IV vit K

restart warfarin once INR <5

Question 4

what would you do if a patient has an INR >8 and no bleed?

Answer 4

stop warfarin + oral vit K

restart warfarin once INR <5

Question 5

what would you do if a patient has an INR 5-8 and no bleed?

Answer 5

omit 1-2 doses of warfarin

reduce subsequent maintenance dose

Question 6

what should be used to monitor warfarin?

Answer 6

INR/ prothrombin time

Question 7

what should be used to monitor LMWH?

Answer 7

Anti factor Xa (but doesnt need monitoring)

Question 8

what should be used to monitor unfractionated heparin?

Answer 8

APTT