Supratheraputic INR

  1. 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?
    NurseKatie08 likes this.
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  3. 2 Comments so far...

  4. 2
    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.
    hodgieRN and turnforthenurseRN like this.
  5. 0
    Resident not paying attention. :yikes: defintely need to question that order....


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