PT of patient 39, ctrl 27. Dose is too low. Target is 1.5-2.5 ctrl. So, titrate drip.
Patient report is 110, 2 hours later.
Now, too high. Protamine
Sulfate is antidote to Heparin.
She goes back on Coumadin bc she goes home with it. 3-5 days therapeutic. Target INR is 2-3. Stay on Coumadin for 6 mo atleast. Keep going on Heparin
till INR is at target. If stopped too soon, could dislodge clot. Hep is short half live, Coumadin is few days.
Follow up lab tests are PT/INR. Teach to watch for bruising/bleeding. Vit K foods maintain consistent consumptions. Spinach, greens. No high risk activities.
FFP for acute hemorrhage on Coumadin
Reverse coag w/ Vit K