Warfarin Guide offers three resources essential for systematic and careful evidence-based anticoagulation with Warfarin. First it reviews recommendations on indications, INR targets, and treatment duration from the American College of Chest Physicians 8th Edition guidelines on Antithrombotic and Thrombolytic Therapy from 2008, updated for the 2012 guideline. Second it offers a protocol for Warfarin dose adjustment depending upon INR result. And third is a discussion of protocols for the initiation of Warfarin. These resources come from point of care guides on these topics in the family medicine literature as well as the 2012 ACCP guideline. The app also offers guidance for management of peri-operative Warfarin by directing the user to oexcellent comprehensive resources for managing all anticoagulants and antiplatelet agents around surgery.
The app addresses such common questions as:
•which artificial heart valves require that higher level of anticoagulation?
•how do I respond to an INR of 7.4?
•this pt needs Warfarin, how do I get it started?
•I'm adjusting the total weekly warfarin dose down by 5%, when should I recheck the INR?
•when do I give Vitamin K to reverse Warfarin anticoagulation and at what dose??
This app is written and intended for practicing clinicians involved in Warfarin anticoagulation such as internists, cardiologists, family physicians, nurses, pharmacists, PA's and NP's; for resident physician trainees; and for medical students. As an educator and clinician, I am interested in feedback and I would be grateful for guidance on improving the tool.
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3.5 out of 5
4 ratings
in United States
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Nope.
I guess I should have looked into it a bit more before getting app. All very easily found information. INR range for Mechanical Mitral Valve is incorrect. It changed from 2.5-3.5 to 3.0-3.5 in early 2014, or before. Working off the incorrect range, when looking at adjusting the dosage, it suggests a 5% - 10% dosage increase if my INR is as low as 1.5! That makes no sense.
Great app! All docs should have
Provides references to national guidelines/recs and easy to use.
Nice
Thank u! It was helpful
Helpful app for Managing Coumadin in clinic!
Excellent app
Dr. Steinberg does it again
Another fabulous reference app! I also use his apps for ABGs and pneumonia. Very quick, to the point app. All of his apps compliment my critical thinking skills as I work towards my Nurse Practitioner certification. I would love to see a heparin app as well.
Great reference.
I have a mechanical mitral valve and this is a nice reference for understanding warfarin doses with an ever changing INR. Thanks for the effort.
Very nice and simple!
Very nice and simple! I can't wait to use this in my job. This has always been a subject that I struggle with, so I am grateful to have a FREE program that I can use to help!