Quote from sirI
This is pretty much normal to increase the drug to try and get the INR increased in a high-risk individual. Problem is, the drug was not d/c, the echo was not performed, there were no labs drawn, no one reviewed the meds for this pt., and patient suffered injury secondary to the overanticoagulation.
i guess what i'm trying to say, is if the attending hadn't intervened, the order would have remained: coumadin 10mg qd po x 3 days.
and the outcome would have been the same...being overanticoagulated.
so what i'm wondering - was it an inappropriate order on the resident's part?
or was it an appropriate order, knowing there's a chance of this type of outcome.
i don't know how if there's a formulary that guides the prescriber in safe dispensing?
(i know what i'm trying to say - but am having one heck of a time in being articulate.)