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minderella1

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  1. INR reporting issue

    minderella1 replied to HolyPeas's topic in Rehabilitation
    A patient of mine returned from dialysis after 11pm. I am to give the evening meds (20:00 meds) at that time. Coumadin is one of them. The lab result did not come in until 11:00 pm. The INR was below therapeutic, therefore I gave the Coumadin without a new order, knowing that the new order would be a higher dose if anything. I felt it was not necessary to call the MD that late at night, that it could wait until the morning. What do you think?

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