Supratherapeutic INR

tox conundrum

A 70 year-old man has presented to your emergency department to get his INR checked. It is markedly elevated – how should you manage this?

Warfarin deliberate self poisoning

tox conundrum

A 30 year-old female is brought into the ED by her husband. The couple had a heated argument which ended with the patient swallowing ~2mg/kg warfarin.