I have a home health pt that fell and has significant bruising and the dr wants pt/inr level done. I just want to know if the results( norms)are different from warfarin results
Normal and therapeutic INR levels remain the same, regardless of the drug which gets you there. The therapeutic ranges vary according to condition. For instance, it would be higher for a patient with PAD than for a patient with an artificial valve requiring a maintenance level.
Speak with the patient's doctor for the specific range required.
The new anticoagulants work later in the clotting chain and does not effect the inr. It may prolong the pt/ptt. Normal is over 35 sec. The manufacturer doesn't recommend clotting studies at all, just observe for increased bleeding. This is my problem with them, there is no study for it to see how its working, and there is no antidote if you start bleeding.
A person on an anticoag is going to bruise, especially with a bad fall. INR is not affected by Xarelto. I am thinking the doc is not familiar with how Xarelto works. Is the person c/o abdomen pain or having an sx of internal bleeding? A CT scan may tell you more if he is having pain.
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