Hi,I am Dr. Prabhakar Koregol (Cardiologist). I will be looking into your question and guiding you through the process. Please write your question below.
A lot of it will depend on the INR and what therapeutic range you want it to be.
Obviously if the patient took an overdose and is not even supposed to be on it, Vitamin K is beneficial - however, in an emergent setting a transfusion of FFP (fresh frozen plasma) is indicated.
In patients that are supposed to be on it and just happen to have too high of an INR - a lot depends on whether the patient is symptomatic or not. If not symptomatic (ie, bleeding uncontrolled), then just observe. If symptomatic, then as above for emergencies.
There is a guideline out there for what you do for a given INR, however - remember each person responds to coumadin differently depending on numerous factors including dietary intake. Consequently relying on that chart may not give the correct results.
You found this answer helpful
Note: For further queries related to coronary artery disease and prevention, click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
We use cookies in order to offer you most relevant experience and using this website you acknowledge that you have already read and understood our
Privacy Policy
What Is The Latest Guideline On Treatment Of Warfarin Over-coagulation ?
A lot of it will depend on the INR and what therapeutic range you want it to be. Obviously if the patient took an overdose and is not even supposed to be on it, Vitamin K is beneficial - however, in an emergent setting a transfusion of FFP (fresh frozen plasma) is indicated. In patients that are supposed to be on it and just happen to have too high of an INR - a lot depends on whether the patient is symptomatic or not. If not symptomatic (ie, bleeding uncontrolled), then just observe. If symptomatic, then as above for emergencies. There is a guideline out there for what you do for a given INR, however - remember each person responds to coumadin differently depending on numerous factors including dietary intake. Consequently relying on that chart may not give the correct results.