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1-Minute Clinicals: Coumadin Coaching


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Coumadin (warfarin) is one of the most common drugs taken by your patients. Did you know…

  • Ginko biloba taken by your Coumadin patient can increase the risk of bleeding.
  • Rather than avoid foods with vitamin K, current research suggests advising your patient to maintain a consistent intake of vitamin K when taking Coumadin.
  • Protime (PT) or International Normalized Ratio (INR) are the two lab tests used to measure the effectiveness of Coumadin. The “normal PT" is 11-13.5 seconds (your specific lab normals may be slightly different); the patient on Coumadin therapy should have a PT two to three times the normal. The INR adjusts the PT for the individual lab. The patient on Coumadin therapy should have an INR of 2-3 (e.g., two to three times the normal PT).

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