How do I control my INR?
How do I control my INR?
Guide for over anti-coagulation 18
- Stop warfarin.
- Test INR daily until it has returned to the therapeutic range.
- Restart warfarin with a reduced dose when INR < 5.
- Give vitamin K 1.0 – 2.5 mg, orally if INR fails to reduce, or if there is high risk of serious bleeding (N.B. subcutaneous administration is not effective)
How much warfarin can you take in one day?
> 3.0 7.5 – 10 mg daily 5 – 10 mg daily 2.5 – 5 mg daily Hold warfarin, recheck in 1-2 days Check INR
How often should you take warfarin for pulmonary embolism?
Usual Adult Dose for Pulmonary Embolism Initial dose: 2 to 5 mg orally once a day Maintenance dose: 2 to 10 mg orally once a day Target INR: 2.5 (range: 2 to 3)
When to start the warfarin dosing protocol 5.0?
Version 5.0 Created 10/28/2015 Warfarin Initiation Dosing Protocol (Week 1) with INR Goal 2-3 Frequency of INR Monitoring After Initiation of Warfarin Frequency of INR Monitoring for Maintenance of Warfarin Warfarin Maintenance Dosing Protocol with INR Goal 1.5 – 2.0
How often should I Change my warfarin protime dosage?
Decrease weekly dosage by 15% or by 1 mg/d for 5 days of next week (5 mg total); repeat PT in 1 week. Decrease weekly dosage by 10% or by 1 mg/d for 3 days of next week (3 mg total); repeat PT in 1 week. No change. Increase weekly dosage by 10% or by 1 mg/d for 3 days of next week (3 mg total); repeat PT in 1 week.
How many milligrams of warfarin should I take?
Start with 5 mg. Warfarin should be started at a dose of 5 mg per day. Randomized trials22,23have shown that patients are more likely to have a thera- peutic INR 3 to 5 days after starting warfarin with a 5-mg dose than with a 10-mg dose.
Decrease weekly dosage by 15% or by 1 mg/d for 5 days of next week (5 mg total); repeat PT in 1 week. Decrease weekly dosage by 10% or by 1 mg/d for 3 days of next week (3 mg total); repeat PT in 1 week. No change. Increase weekly dosage by 10% or by 1 mg/d for 3 days of next week (3 mg total); repeat PT in 1 week.
How often does warfarin need to be rechecked?
Hold warfarin, recheck in 1-2 days Check INR Every 2 – 3 days Until INR within therapeutic range on 2 consecutive INR checks Then every week Until INR within therapeutic range on 2 consecutive INR checks Until INR within therapeutic range on 2 consecutive INR checks Then every 4 weeks When dose is stable check monthly Check INR
How to stop warfarin Coumadin INR protime dosing algorithm?
Stop warfarin. Contact patient for examination. Stop warfarin for 2 days; decrease weekly dosage by 25% or by 1 mg/d for next week (7 mg total); repeat PT³ in 1 week. Decrease weekly dosage by 15% or by 1 mg/d for 5 days of next week (5 mg total); repeat PT in 1 week.