How do I calculate INR?


How do I calculate INR?
It has been proposed to present the result of each coagulation measurement as the International Normalized Ratio (INR), thus calculated : INR = (patient’s PT/average normal PT)ISI.
How to dose coumadin according to the INR?
L’INR target is the same as in the younger subject, but the dose initial will be reduced by half (4 mg for warfarin and ½ to ¾ of the dose for acenocoumarol). Practical example of initiating warfarin therapy in patients > 70 years of age (INR target between 2.0 and 3.0), according to V.
Why do we do the INR test?
L’INR (International Normalized Ratio) do part of the markers which make it possible to monitor certain blood factors involved in coagulation. It is a calculated rate which makes it possible to compensate for the great variability in prothrombin time TP between the various medical analysis laboratories.
When to measure the INR?
L’INR (International Normalized Ratio) is the measure international standard calculated for blood coagulation. This test is prescribed for anyone taking anticoagulant treatment with vitamin K antagonists in order to measure the effects and adapt the dosages accordingly.
How to dose coumadin?
Instructions for use and dosage of the drug COUMADIN The tablets are swallowed with a glass of water, once a day. For a constant effect of this medication, it should be taken regularly, always at the same time, preferably in the evening.
How to adapt coumadin?
Discuss initiation of heparin therapy. Do not change anything or increase the weekly dose by 10%. INR control at D7….INR control on D7.
- 2 ≦ INR ≦ 3. Do not change anything.
- 4 ≦ INR < 6. Skipping a tap. Daily INR monitoring. ...
- 6 ≦ INR < 10. Stop AVK. 2 mg of vitamin K orally.
How to calculate the INR?
The INR is calculated from the patient’s prothrombin time and the reference prothrombin time called “control”. The use of an international sensitivity index specific to each reagent makes it possible to standardize the result from one laboratory to another. Normal PT values are between %.
What is the difference between PT and INR?
The TP, expressed as a percentage, is obtained from the prothrombin time. Prothrombin time is a measurement of blood clotting time triggered by the addition of a laboratory reagent, thromboplastin, in the presence of calcium. The INR is calculated from the patient’s prothrombin time and the reference prothrombin time called “control”.
What is INR Self-Measurement?
Self-measurement of INR means that the INR is measured by the patient himself. This measurement is carried out in a few seconds using a capillary blood sample taken from a fingertip, reactive strips and a specific reading device.
How long does it take to recheck the INR?
If your INR is slightly outside the therapeutic range, your doctor may simply ask you to recheck the INR within a few days, without immediately changing the dose of the AVK drug.