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Atrial Fibrillation/INR
Manage episode 388859387 series 3456065
Kandungan disediakan oleh Fitzgerald Health Education Associates. Semua kandungan podcast termasuk episod, grafik dan perihalan podcast dimuat naik dan disediakan terus oleh Fitzgerald Health Education Associates atau rakan kongsi platform podcast mereka. Jika anda percaya seseorang menggunakan karya berhak cipta anda tanpa kebenaran anda, anda boleh mengikuti proses yang digariskan di sini https://ms.player.fm/legal.
A 68-year-old with atrial fibrillation is taking warfarin as part of therapy for the prevention of thromboembolic event. His goal INR is 2-3, which is checked monthly and has been within acceptable range for the past 6 months. Today he presents with an INR=3.8. He denies bleeding events and reports, “I am taking my medicine just like I was told.” The NP considers that:
A. The INR should be repeated today.
B. A single dose of injectable vitamin K should be ordered.
C. His health history should be reviewed carefully, with a focus on interacting with medications and/or foods.
D. His weekly warfarin dose should be increased by 15%.
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YouTube: https://www.youtube.com/watch?v=GNOlaFUosp0&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=47
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