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Pulmonary Embolism And Anticoagulation Follow-Up Practice Test
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Q1
A 44-year-old postpartum woman (3 weeks after delivery) was treated for PE diagnosed 10 days ago. Risk factors include recent pregnancy, prolonged bed rest, and obesity; no prior VTE. She is on warfarin with target INR 2.0–3.0 and is breastfeeding; INR checks occur every 3 days. She now reports mild hemoptysis and heavy vaginal bleeding soaking pads hourly. Vitals: BP 98/60, HR 112, SpO2 97% RA. Labs: INR 3.9, Hgb 7.9 g/dL, platelets 250k, creatinine 0.7 mg/dL. What is the most appropriate next step in management for this patient?
A 44-year-old postpartum woman (3 weeks after delivery) was treated for PE diagnosed 10 days ago. Risk factors include recent pregnancy, prolonged bed rest, and obesity; no prior VTE. She is on warfarin with target INR 2.0–3.0 and is breastfeeding; INR checks occur every 3 days. She now reports mild hemoptysis and heavy vaginal bleeding soaking pads hourly. Vitals: BP 98/60, HR 112, SpO2 97% RA. Labs: INR 3.9, Hgb 7.9 g/dL, platelets 250k, creatinine 0.7 mg/dL. What is the most appropriate next step in management for this patient?