Young woman presents with epistaxis and fatigue, she felt of tiredness for months and has had regular heavy periods. She is pale, otherwise in no acute distress.
On investigations her Hb is 85g/l (low)
MCV (low)
Ca is 1.9 (low) and
INR is 1.5. (normal given with upper limit 1.1 so high INR)
Which of the following is the most appropriate next step?
A-blood transfusion
B-Iv calcium
C-hemolytic screen
D-fresh frozen plazma
E-vitamin K