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Warfarin Dosing Protocol - UW Health

Warfarin Management CPG Ambulatory Appendix A: Warfarin Management Dosing Tool Adult Ambulatory Version Created 10/28/2015 Warfarin Initiation Dosing Protocol (Week 1) with INR Goal 2-3 Frequency of INR Monitoring After Initiation of Warfarin Frequency of INR Monitoring for Maintenance of Warfarin Warfarin Maintenance Dosing Protocol with INR Goal INR INR INR - INR INR - * INR * INR * INR > Increase weekly dose 10% Increase weekly dose 5% No change Decrease weekly dose 5% Consider half dose x 1 Decrease weekly dose 10% Hold 1 dose Decrease weekly dose by 10-20% MD order required: Hold 2 doses Decrease weekly dose 10-20% Contact MD for urgent patient evaluation * If the INR is above the specified range for accuracy per POC device, a repeat venipuncture is required to verify INR Warfarin Maintenance Dosing Protocol with INR Goal 2-3 INR < INR - INR - INR * INR * INR * INR > Extra Dose Increase weekly dose 10-20% Increase weekly dose 5-10% No change Decrease weekly dose 5-10% Hold 1 dose Decrease weekly dose 10% MD order required Hold 2 doses Decrease weekly dose 10-20% Contact MD for urgent patient evaluation * If the INR is above the specified range for accuracy per POC device, a repeat venipuncture is required to verify INR Warfarin Maintenance Dosing Protocol with INR Goal INR < INR - INR - INR - * INR * INR * INR > Extra Dos

Warfarin Management CPG – Ambulatory Appendix A: Warfarin Management Dosing Tool – Adult – Ambulatory . Version 5.0 Created 10/28/2015 . Warfarin Initiation Dosing Protocol (Week 1) with INR Goal 2-3 Frequency of INR Monitoring After Initiation of Warfarin .

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