Is there any new po anticoagulant that doesn't need frequent INR check?

Nurses General Nursing

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Specializes in Geriatric.

I wonder, is there any new drug that doesn't require you to check PT/INR that often? It's tough to call that MD in the middle of the night to report an abnormal INR.

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Specializes in Oncology.

Pradaxa

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Specializes in Developmental Disabilites,.

xarelto

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I'm on Pradaxa after 4 years on Coumadin. I'm on it for something besides 'poor INR w/a fib therapy' but it seems to be working :) Not having to go in for those labs is really nice, especially when it's -20 wind chills in the winter :eek:

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Specializes in LTC.

I had a resident who her PT/INR levels were always out of whack even after increasing and decreasing her Coumadin even to different doses on different days of the week. She know is taking Pradaxa.

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Specializes in Medical-surgical.

Coumadin should be given in the evening and the INR should be checked in the morning, why are you having to call the MD in the middle of the night for an abnormal INR?

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Specializes in CEN, CPEN, RN-BC.

I'm interested to see if pradaxa really takes off... throwing a new wrench into F UBAR traumas...

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I'm interested to see if pradaxa really takes off... throwing a new wrench into F UBAR traumas...

Because of no antidote? :confused:

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Specializes in tele, oncology.

We're seeing A LOT of pts getting put on it...I'm at what is essentially a county hospital though so we get many pts who are non-compliant with their INR follow ups, even with a Coumadin clinic on-site.

I'm still not comfortable with thwre not being f/u labs for it. Seen way too many CVAs from sub-therapuetic INRs with our a-fibbers.

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Specializes in ICU/CCU, PICU.
Because of no antidote? :confused:

You could use the same management as if with Plavix. Theres not antidote but out physicians would give platelets and such.

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Specializes in Emergency & Trauma/Adult ICU.

I love the dry wit statement of a doc I work with ...

"Pradaxa is a great drug. Unless you have a head bleed, then it's a very bad drug."

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Specializes in Geriatric.
Coumadin should be given in the evening and the INR should be checked in the morning, why are you having to call the MD in the middle of the night for an abnormal INR?

Because some a.m. shift did not report it right away to the doctor.

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