RAT Support Forum 

Go to Topic: PreviousNext
Go to: Message ListNew TopicSearchPrint View
Missed Doses
Posted by: David Malakoty ()
Date: 19 May, 2014 07:47AM

Hello,

Just wondering if you could offer some advice on what we should do if a patient freely admits that they have missed a dose.

Is it better to adjust the weekly regime for the last week to demonstrate the missed dose or doses? Or would this only be advisable if the missed dose had been weekly since their last review.

Or would it be better to just not adjst the dosing regime and bring the patient back for review in a week and ensure that they take the medication as prescribed.

Thanks for any advice,

David

Options: ReplyQuote
Re: Missed Doses
Posted by: Colm Rafferty ()
Date: 19 May, 2014 08:05AM

Dear David,
In most scenarios where a patient has missed a dose it is best to not adjust the previous weekly total dose.

If a patient missed a dose in the past 72 hours and their INR is below the target range then best not to adjust the previous weekly range as we have a reason for the low INR.

If a patient has been missed a dose in past 48 hours yet the INR is higher end of normal or above the target range then best to bring them back in 1 week.

So your second recommendation would be the best.

Regards
Colm Rafferty

Options: ReplyQuote


Go to: Message ListSearch
Your Name: 
Your Email: 
Subject: 
This is a moderated forum. Your message will remain hidden until it has been approved by a moderator or administrator

    Please note RAT should only be used by health professionals familiar with warfarin management
     Copyright 1996-2020 formulae software