-3 Dosing Adjustments Goal INR 2.5 3.5 INR < 1.5 Consider a one-time dose increase of 1½ - 2 times daily maintenance dose If adjustment to maintenance dose needed, increase dose by 10-20%* Repeat INR in 1 week INR < 2.0 INR 1.5 – 1.7 Consider a one-time dose increase of 1½ times daily maintenance dose
Warfarin Initiation (Week 1) with INR Goal 2-311 Day Therapy INR Value Dose Adjustment Day 1 5 mg daily (2.5 mg daily if high sensitivity to warfarin identified) In 2-3 days after initiation < 1.5 1.5-1.9 2.0-2.5 > 2.5 5 – 7.5 mg daily 2.5 - 5 mg daily 2.5 mg daily Hold and recheck INR next day In additional 2-3 days after last INR check
Total Knee or Hip Arthroplasty* 1.8-2.2 10-14 days INR goal per UWHC Orthopedics Hip Fracture Surgery* 1.8-2.2 10-14 days INR goal per UWHC Orthopedics Trauma Surgery* 1.8-2.2 35 days INR goal per UWHC Orthopedics * If other indication for anticoagulation exist - …
Jan 9, 2012 · We included INR values within the VA system during times when a patient was on warfarin: that is, when a patient was either (i) in possession of warfarin or (ii) having INR tests at least every 42 days. We defined the period of warfarin possession as the duration of the most recent VA prescription for warfarin, plus 30 days.
Apr 22, 2020 · Warfarin (INR 2-3) for at least 3 months. c Grade 2C. High risk for LVT. b. withOUT established CAD No antiplatelet therapy or warfarin Grade 2C. 2013 ACC/AHA STEMI Guidelines. 3. Asymptomatic LV mural thrombus or at high risk . for LVT. b + STEMI Warfarin (INR 2-3, or 2-2.5 in triple therapy) Class IIa x3 months. c. 2014 AHA/American Stroke ...
If you are planning to travel tell your warfarin manager before your trip. You may need to make plans for INR checks. You should also carry your medicines with you at all times. Luggage may get lost and drugs left in cars may degrade in extreme heat or cold. Sickness . Acute illness can change your response to warfarin. Tell your doctor or ...
Sep 1, 2022 · of bivalirudin should be based upon the goal of 1.5-2.5 x patient’s baseline PTT. o When baseline PTT is prolonged, accurate monitor of bivalirudin may not be possible. International normalized ratio (INR) o DTI increases INR with potential for combined effects on INR with the co-administration of bivalirudin and warfarin.
Apr 24, 2024 · anticoagulation with a VKA to achieve an INR of 2.5 is reasonable for at least 3 months and for as long as 6 months after surgical replacement • For patients with bioprosthetic TAVI, treatment with low-dose rivaroxaban (10 mg daily) plus aspirin (75–100 mg) is contraindicated in the absence of other indications for oral anticoagulants
ⱡ For On-X mechanical valves, ASA 81mg daily should be added to VKA both initially after AVR placement and when INR goal is reduced to 1.5—2.0 after 3 months of therapy. ASA – Aspirin, AVR – Aortic Valve Replacement, DAPT – Dual Antiplatelet Therapy, DOAC – Direct Oral Anticoagulant, OAC – Oral Anticoagulation,
Apr 22, 2020 · Warfarin (INR 2-3) + low dose aspirin + clopidogrel x3-6monthsa. Then discontinue warfarin and continue DAPT for up to 12 months per ACS recommendations. Grade 2C LVT + systolic LV dysfunction withOUT established CAD Warfarin (INR 2-3) for at least 3 months c. Grade 2C High risk for LVTb withOUT established CAD No antiplatelet therapy or warfarin.