HughesMedicine - Pharmacotherapy Pearls from the Internal Medicine Clinical Pharmacist
Tuesday, August 30, 2016
Warfarin dosing nomogram for initiating therapy
A 60 year old female patient presents to the emergency department with complaints of swelling and pain in her right leg. She recently had her knee replaced and has healed well since the procedure. She has a PMH of HTN and CKD (Stage IV). She has no other complaints at this time. She is diagnosed with a proximal DVT on lower extremity ultrasound and the decision is made to anticoagulate her with warfarin plus a parenteral anticoagulant. Her baseline INR is 1.28. What strategy can we use to initiate her on warfarin to reach a therapeutic INR in a reasonable amount of time without overanticoagulating her?
Recommended for you
-
The American Geriatrics Society recently published their Alternative Treatments to Selected Medications in reference to the most recent upd...
-
Let’s start with a patient case. A patient is being treated with methylprednisolone 20 mg IV q6 hours for some inflammatory process and...
-
A 55 year old business executive is being discharged from the hospital after a brief admission for cellulitis. His only PMH is HTN and o...
-
Ticagrelor is an antiplatelet medication that is commonly used for a number of cardiovascular conditions. Its mechanism is similar to th...
-
Since it's the time of year again when Lyme disease is a concern for patients in many parts of the United States, I thought it would b...
-
A 65 year old male is being treated for an infection on his forearm that developed purulent drainage within the last few days. He denies ...
-
Testing urine for the presence of drugs has a variety of uses including assessing poisoning or overdose, pre-employment testing, substanc...
-
A 74 year old female patient presents to clinic describing dysuria and urinary frequency that started within the last few days. She has ...
-
A previous discussion was about selecting a phosphate repletion product . Selecting a drug product can be confusing because of the similar ...
-
Heart failure (HF) is a complex condition characterized by signs of volume overload or symptoms such as dyspnea, exercise intolerance, and f...
