In addition, warfarin doses and international normalized ratio (INR) values were calculated week-by-week after the initiation of amiodarone. Results The initiation of amiodarone increased the mean INR from 2.6 to 3.1. The proportion of patients with a supratherapeutic INR over 3.0 and 4.0 increased from 12% to 37% and 0.9% to 5.5%, respectively.
associated with supratherapeutic INR values. However, subtherapeutic anticoagulation has been shown to increase the frequency and severity
General principles for preventing supratherapeutic INR involve careful monitoring and consideration of warfarin-drug interactions, including avoiding
by J Douxfils 2024 Cited by 38represents a mean deviation of ±30 % compared to the mean concen- tration of Supratherapeutic INR was observed in 2 patients experiencing massive
INR/Clinical Scenario Bleeding Intervention Monitoring INR supratherapeutic but 4.5 No Lower or omit next dose Recheck INR the next day INR 4.5-10.0 No Lower or omit next dose Recheck INR the next day INR 10.0 No PO vitamin K 2.5-5mg (IV if unable to tolerate PO) Recheck INR the next day
Mean values are presented as mean (standard deviation [SD]). Tests for significant differences between patients with a therapeutic INR and a supratherapeutic INR were assessed by using the Student t test or the chi-square test with the Yates continuity correction as appropriate. All comparisons used a two-tailed alpha and were specified before
by JJ Glasheen 2024 Cited by 115These mean INR changes in the antibiotic groups were all statistically different from the terazosin group. The incidence of supratherapeutic INR was 5% for
Supratherapeutic INR and major bleeding secondary to warfarin therapy occurs in up to The rate of administration of FFP should not exceed 600. mL/hour meaning
This topic discusses risk factors for warfarin-associated bleeding and poor international normalized ratio (INR) control and presents an approach to the management of a patient with warfarin-associated bleeding or an INR above the therapeutic range (ie, a supratherapeutic INR).
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