Flowsheet of Coumadin Management
In patients at low risk of thromboembolism bridging with LWMH not recommended. Patient to stop warfarin 5 days before procedure. Check INR the day before procedure. If INR >1.5 consider giving vitamin K 1.25mg po. Resume warfarin immediately after procedure *LWMH Bridging therapy recommended in patients at moderate-to-high risk of thromboembolism: ................
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