comadin Question

(coumadin) You would need to look at their INR to see at what therapeutic level their coumadin is at. Your pt is anemic with a hemoglobin of 8, so if their INR was too high, there would be increased complications associated with wherever the pt is losing blood from (usually the culprit is a GI bleed). A lot of times, if the pt is actively bleeding with an elevated INR, you will see an order for vitamin K to reverse the effects of the Coumadin.