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Q: What should do in a patient with INR elevated and bleeding?
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When INR is 1.01 is the patient risk for bleeding?

No there is no risk of bleeding with INR of 1.1 as this is normal. Risk of bleeding is when INR is over 3. For surgical procedures it is preferred to have the INR at 1.2


Is it dangerous to have a 6.5 blood level of Coumadin or Warfarin sodium which is above the level 2 that is recommended and what should be done?

I am assuming by "blood level" that you mean the International Normalized Ratio (INR), as we do not normally check the actual blood level of Warfarin. Warfarin is a commonly used anticoagulant (blood thinner) medication. The level of INR that a patient requires actually varies depending upon the condition they are being treated for. 6.5 is never a therapeutic goal for Warfarin. Elevated INR levels indicate that a patient may bleed. The management for an INR of 6.5 depends upon the presence of bleeding. If the patient is not actively bleeding, it is appropriate to hold the next two scheduled doses of Warfain and monitor the INR. The Warfarin may be resumed when the INR is back to range. IF the patient is bleeding, the Warfarin will need to be stopped and Vitamin K needs to be administered, as well as medical treatment for bleeding. This would be the standard of care in this case.


Is an elevated INR a contraindication to a picc line?

no


Can you have cortisone injections while on warfarin?

You can, but it should be avoided.. Higher risk of bleeding, and interactions on INR. If cortisone injections are required, they should be given at low INR (around 2.0 or 2.5 ) and INR should be monitored closely in the following days.


What does elevated coumadin level mean?

The PT/INR blood test showed thinner than normal blood for a patient taking Coumadin. This indicates elevated Coumadin levels and the Coumadin needs to be adjusted to a lower strength.


If a patient is taking Coumadin and his INR is 10 should I give Heparin?

NO! First, recheck your numbers/ repeat the test.. an INR of 10 is way out of range. Did you accidentally type in 10 when you meant 1.0?? Typically, the target numbers of INR/PT for a patient in warfarin (Coumadin) is between 2.0 and 4.0 (Prothrombin time). An INR/PT of 10 means your patient is at risk to bleed out. Do NOT give another blood thiinner like Heparin, as this will exacerbate the problem. Get the doc on this case involved stat please.


What is the danger of low inr?

The "INR" stands for international normalized ratio, when referring to laboratory studies. A "low" INR is normal, and there are no specific dangers. However, if a patient requires anticoagulant therapy (Coumadin, Lovenox, etc.), then a low INR would mean a greater chance of developing a blood clot.


Will taking a baby aspirin affect the INR level?

Aspirin makes your platelets slippery and inhibits them from sticking together. Aspirin does not affect your INR but can still cause bleeding to be prolonged. Coumadin does affect INR and can be used effectively with aspirin if prescribed. (This is not to be taken as medical advice, but informational purposes). Source: Am a patient with antiphospholipid antibody syndrome, S/P bilateral pulmonary emboli and a TIA. Ten+ years of Coumadin, then Lovenox Injections. Now on coated enteric baby aspirin alone for a year, and INR is just 1.0. Hematologist monitoring.


When would a PT INR test be used?

A PT INR test would be used if someone is suspected of having bleeding problems. It is also used to check or diagnose blood related problems (blood clotting).


What is possibly to happen when the INR is 1.4 in a surgery?

It can cause problems with bleeding during surgery, and bruising and haematoma formation after surgery.


What should a doctor do if the persons INR level is too high?

If you mean the patient's clotting level is not correct, the doctor will adjust the person's anticoagulant levels (usually for warfran). If they are not on an anticoagulant, they need to speak to the doctor.


What is vit k an antidote for?

Warfarin is a blood thinning drug. It is very useful for treating and preventing blood clots. The blood thinning property of warfarin is measured by a blood test called INR (International Normalised Ratio); the finger-prick test each time a patient visits the anticoagulant clinic. The INR value needs to be maintained within a narrow target range (2.0-3.0 for most types of clotting disorders) for safe and effective treatment. The INR value can sometimes go above the set target range which can increase the risk of bleeding. As such vitamin K is used as an antidote to reverse INR