Hello to everyone,
I have a resident that was admitted using her med a benefits.
therapy was seeing her 5xwk however, due to poor participation. I was
reviewing her chart to see if she is skilled nursing. she has had
multiple protimes/inr's drawn. within the last week here is how her
coumadin and protimes stand: 12/12 md ordered for coumadin 1 mg to start
on 12/13/2003 with a protime/inr on 12/15/03. her 12/15 protime/inr was
23.0/2.2. Md kept coumadin at 1 mg with a protime on 12/19/2003. the
12/19/03 protime/inr came back elevated so md place coumadin on hold for
24 hours then we were to restart at 0.5mg qd with next protime on
12/22/2003. Protime was drawn this am results came back 49.7/4.9
awaiting return call from md. but I suspect he will hold coumadin and
give us new orders for a protime. We have also withing the last week
found a very large bruise on resident. Would you continue to skille her
until her protimes are more stable.
Thanks,
Billie Stewart, RNAC
[EMAIL PROTECTED]
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