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PsychNurse42

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  1. I'm not overly familiar with coumadin and lovenox, and I'm hoping to get some feedback from more experienced nurses. I recently had a pt who was ordered coumadin 12mg po QHS (Hospital policy is 1700) x 4 days and Lovenox 130mg SQ daily x 3 days. Pt has a hx of DVT, CVA. PT was 11.2 and INR was 1.0. Pt states she has not been taking her medication recently. I understand that the INR is low for a pt on coumadin, and I'm aware of her hx of clots, but is this a safe dose? I rarely give these medications at my facility, and I certainly felt uncomfortable with the dosage combined. I felt like it was a bit excessive. Any thoughts?

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