how uncommon is it for DVT's to form when the INR is above range?

Nurses General Nursing

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S.O.S. I am not a nurse. I feel Like I am a walking time bomb. A week or so ago I began suffering from a kidney stone. It was time for my PT test. It came back 1.3. My NP said that was alright since I had blood in the urine but then he didn't make any effort to monitor the P.T.. I have a standing order and had another blood draw two days later. My P.T. had risen to 3.7 without my having increased the Warfarin dose. I had been in intense pain from the stone and hadn't eaten in days. After about seven days I passed the stone. Two days later I woke up with all the symptoms of a DVT: Tendonitis in calf area, swollen leg, heat etc.. In addition my heel and arch were so sore I couldn't walk. I went to our hospital emergency. The emerg. M.D. sent me home. Since my P.T was 3.6.

he assumed I could not have a clot. The next day my N.P. referred me for an ulta sound which showed I had not only extensive DVT clots but superficial clots that were visible to the naked eye. The Ultra Sound tech or someone unknown recommended to my N.P. that I have a second Ultra Sound in two days (today) to make sure the clots are not moving. I live in a rural area where our medical services are like third world. It's impossible to find a doctor and when you do your telephone calls are picked up by an automated voice system advising you to either call 911 or call back Friday to make an appointment. I go to a doctor 100 miles distant who is more responsive. My N.P. runs our rural clinic but doesn't even have admitting privileges. Meanwhile, I have been hobbling around on crutches for almost a week now. I have had two former DVT's. The first, ten years ago advanced into a P.E.. I'm thinking to call my distant M.D. to see if he can get me in today. I don't feel comfortable with any of this. The question: how uncommon is it for DVT's to form when the INR is above range?

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S.O.S. I am not a nurse. I feel Like I am a walking time bomb. A week or so ago I began suffering from a kidney stone. It was time for my PT test. It came back 1.3. My NP said that was alright since I had blood in the urine but then he didn't make any effort to monitor the P.T.. I have a standing order and had another blood draw two days later. My P.T. had risen to 3.7 without my having increased the Warfarin dose. I had been in intense pain from the stone and hadn't eaten in days. After about seven days I passed the stone. Two days later I woke up with all the symptoms of a DVT: Tendonitis in calf area, swollen leg, heat etc.. In addition my heel and arch were so sore I couldn't walk. I went to our hospital emergency. The emerg. M.D. sent me home. Since my P.T was 3.6.

he assumed I could not have a clot. The next day my N.P. referred me for an ulta sound which showed I had not only extensive DVT clots but superficial clots that were visible to the naked eye. The Ultra Sound tech or someone unknown recommended to my N.P. that I have a second Ultra Sound in two days (today) to make sure the clots are not moving. I live in a rural area where our medical services are like third world. It's impossible to find a doctor and when you do your telephone calls are picked up by an automated voice system advising you to either call 911 or call back Friday to make an appointment. I go to a doctor 100 miles distant who is more responsive. My N.P. runs our rural clinic but doesn't even have admitting privileges. Meanwhile, I have been hobbling around on crutches for almost a week now. I have had two former DVT's. The first, ten years ago advanced into a P.E.. I'm thinking to call my distant M.D. to see if he can get me in today. I don't feel comfortable with any of this. The question: how uncommon is it for DVT's to form when the INR is above range?

It is against the TOS to give medical advice. Please consult your physician with your questions. Best of luck!

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Specializes in Medical and general practice now LTC.

As mentioned, we can not offer medical advice as per the Terms of Service of the site. You really need to speak to your PCP.

Moved to a thread on it's own

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