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
-
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 48 year old male is admitted to the hospital after experiencing a fever and malaise for several days. He states that he has some shortn...
-
The 2016 American Diabetes Association diabetes guidelines is a lengthy document outlining many aspects of diabetes care including eval...
-
Daptomycin (Cubicin) is the first antibiotic in a class known as lipopeptides and has a unique mechanism of action. Daptomycin is a large...
-
The American Geriatrics Society recently published their Alternative Treatments to Selected Medications in reference to the most recent upd...
-
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...
-
Since July is here and the academic calendar is starting over, it is time for new medical residents to be arriving to the hospital floors...
-
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...
-
Thiamine is a water-soluble vitamin that is an important coenzyme for various metabolic processes in the body. These include the regulat...
-
Homeopathy is a part of complementary and alternative medicine (CAM) that is an undeniable component of the healthcare industry in the U...
