Haem

Question 1

Major bleeding (e.g. variceal haemorrhage, intracranial haemorrhage) on Warfarin management

Answer 1

Stop warfarin
Give intravenous vitamin K 5mg
Prothrombin complex concentrate - if not available then FFP*

Question 2

INR > 8.0
Minor bleeding Management

Answer 2

Stop warfarin
Give IV vitamin K
Repeat dose of vitamin K if INR still too high after 24 hours
Restart warfarin when INR < 5.0

Question 3

INR > 8.0
No bleeding

Answer 3

Stop warfarin
Give vitamin K orally
Repeat dose of vitamin K if INR still too high after 24 hours
Restart when INR < 5.0

Question 4

INR 5.0-8.0
Minor bleeding

Answer 4

Stop warfarin
Give intravenous vitamin K
Restart when INR < 5.0

Question 5

INR 5.0-8.0
No bleeding

Answer 5

Withhold 1 or 2 doses of warfarin
Reduce subsequent maintenance dose

Question 6

Auer rods are found in

Answer 6

AML

Question 7

CML blood film

Answer 7

an increase in granulocytes at different stages of maturation +/- thrombocytosis

Question 8

blast cells are found in

Answer 8

ALL

Question 9

smudge/smear cells are found in

Answer 9

CLL