Supratheraputic INR

  1. I had a patient with a supratheraputic INR on admission (11.5) she received 5mg PO vit k and the next morning her INR was 5.3. The resident ordered subq heparin BID for DVT prophylaxis. Can anyone explain to me a rationale for starting the patient on subq heparin while she was still supratheraputic and obviously anticoagulated?
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  2. 2 Comments

  3. by   prep8611
    Yes absolutely I can explain it, your resident is a moron. The same lack of thought that causes our residents to order lovenox on our hemorrhagic strokes. I hope you questioned the order.
  4. by   KBICU
    Resident not paying attention. :yikes: defintely need to question that order....

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