MSFinals-2110

MSFinals-2110

A 68-year-old woman is admitted to Accident and Emergency with a massive upper gastrointestinal haemorrhage. She has a history of atrial fibrillation and is on warfarin. Since admission, she has had several episodes of copious haematemesis. Her blood pressure is 80/54 mmHg, and her heart rate is 136 beats/min. You have started resuscitation with normal saline and have ordered a group and save and a crossmatch. Her INR is currently 8.4. What is the most appropriate way to manage her INR?