Concluded Case

constantly raised Pt,INR

60 year male vitally stable c/o hemoptysis d/t warf toxicity with AF, k/c/o RHD since 20 years on presentation inr 5.45 not on warf/aspirin since last 20 days 4 ffp given still Inr 4.45 no activite bleeding what is the cause of such raised inr? kindly advice further steps of ix and management

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pt improved after 5 days of inj vit k 1mg iv

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Looks warfarin toxicity Decrease dose by step pattern Other cause Pul oedema and PHT leads to Haemoptysis Add vit K

pt improved after 5 days of inj vit k 1mg iv

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