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Pharmacy Progress Note: Follow-Up Dosing per Collaborative Practice

Pharmacy Progress Note: Follow-Up Dosing per Collaborative Practice 2025

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The document outlines the procedures and protocols for follow-up warfarin dosing at UConn Health's John Dempsey Hospital, detailing patient identification, clinical data requirements, and the collaborative practice agreement that allows pharmacists to manage warfarin therapy under specific guidelines.

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Click ‘Get Form’ to open the Pharmacy Progress Note in our editor.
Begin by entering the patient identification details, including age and gender. Ensure accuracy as this information is crucial for proper dosing.
Fill in the admit date and indication for warfarin therapy. Specify the target INR range by checking the appropriate box (2–3 or 2.5 – 3.5).
Input laboratory data, including the date of INR testing and the actual INR value. Record the warfarin dose administered.
Document any signs or symptoms of bleeding noted during assessment, and consider changes in dosing based on concurrent medications or potential drug interactions.
Add any additional comments relevant to the patient's condition or treatment plan in the designated section.
Finally, enter your name, date of administration, time, and provide your signature to complete the form.

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What are the rules for taking warfarin?

The daily maintenance dose of warfarin is usually 39 mg, taken at the same time each day. The exact maintenance dose is dependent on the INR or other appropriate coagulation tests. Once the maintenance dose is stabilized in the therapeutic range, it is rarely necessary to alter it.

What is the standard process for taking warfarin?

Warfarin is taken once a day, usually in the evening. Its important to take your dose at the same time each day, before, during or after a meal. The aim of warfarin therapy is to decrease the bloods tendency to clot, but not stop it clotting completely.

How do you initiate warfarin?

The two widely used dosing options on the initiation of warfarin therapy are 5 mg and 10 mg per day. A small study1 randomized 49 inpatients to receive initial doses of 5 mg or 10 mg, with subsequent adjustments made ing to an algorithm that was not included in the article.

What are the tips for taking warfarin?

Take it at around the same time each day. This is so that if you need to change the dose after a routine blood test, you can do this the same day rather than waiting until the following morning. Warfarin does not usually upset your stomach, so you can take it with or without food.

How do I start warfarin?

Initiate warfarin as soon as possible following diagnosis of VTE, preferably on the same day, in combination with UFH, LMWH or fondaparinux. The initial dose of warfarin should be 5 or 10 mg for most patients.

What are the guidelines for warfarin doses?

Warfarin should usually be started at a dose of 5 mg per day. A 10-mg dose more frequently results in a supratherapeutic international normalized ratio (INR). Amiodarone, fluconazole, metronidazole, trimethoprim- sulfamethoxazole, and many other drugs inhibit the metabolism of warfarin.

Pharmacy Progress Note: Follow-Up Dosing per Collaborative Practice 2025

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