Question 63 · LEK · Anticoagulants

Which of the following is recommended in a patient treated chronically with acenocoumarol if the control lab examination showed INR = 4.7?

  1. A. decrease next two doses of acenocoumarol.
  2. B. skip one dose of acenocoumarol and decrease subsequent doses of acenocoumarol.
  3. C. skip two doses of acenocoumarol.
  4. D. skip two doses of acenocoumarol and give vitamin K orally.
  5. E. continue the same acenocoumarol dosage.
Hint

For a moderately raised INR without bleeding, think of temporary withholding plus dose adjustment, keeping vitamin K for higher values.

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