Haematology

Question 1

Management of INR <4.5 with Minimal/ no bleeding

Warfarinised patient

Answer 1

hold warfarin for 1-2 days or decrease

Question 2

Management of INR 4.5-10 within minimal/ no bleeding

warfarinised patient

Answer 2

Hold warfarin and resume when INR is therapeutic.

Administer low dose vitamin K 1-2.5 if increased risk of bleeding.

Question 3

Management of INR >10 with minimal/ no bleeding

warfarinised patient

Answer 3

hold warfarin and administer high dose oral vitamin K (2.5-5mg)

Question 4

Management Of ANY INR with severe bleeding

warfarinised patient

Answer 4

Hold warfarmin,
!0mg IV vitamin K
PCC