Supratherapeutic INR on Warfarin 07/26/2017

Warfarin 1

 

Warfarin 2

 

Warfarin 3

 

Warfarin 4

What if there is minimal bleeding?

  • There are no set guidelines from ACCP for this situation
  • It depends on clinical judgement and the likelihood of progression to severe bleeding
    • Extent and site of current bleeding
    • Previous bleeding
    • Comorbidities
    • INR level and trend
  • Use a combination of holding warfarin and giving vitamin K as appropriate

 

Warfarin 5

 

 

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