Verify - newboy

[ArchivalUser]

Recommendations for Vit K in INR


<5 - dec Coumadin
5-9 Stop Coumadin
9-20 Oral K
>20 IV K ( no FFP , FFP only if anything above target INR with active bleeding which could be fatal )

Lets say patient has INR of 4 and has hematuria and is on coumadin. Wud u give FFP ?

Same case with INR of 8 wht will u do ?

[ArchivalUser]

I tthink stop for both because inr is not dangerous level and it is not life thretaning situation may be you can give vit k for the second one

[ArchivalUser]

Interestingly
Pts on Vitamin K-rich diet (Green leafy vegetable's) can have difficulty attaining a therapeutic INR, thus, they require higher doses of Warfarin to acheive the desired INR.


I am sure you all know

Warfarin is the Genetic form of COUMADIN


Do You Know that
In Acute Renal Failure setting due to platelet dysfunction Desmopressin represents the simplest and least toxic acute treatment of a prolonged bleeding time. It acts by increasing the release of Factor VII: VW factor multimers from endothelium.