One number is her age.
One number is her INR
One number is her BUN
I'm going to fix her.
Medications are vewy, vewy, danguous.
Wednesday, March 26, 2008
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5 Outbursts:
Holy Crap!!!! An INR of 28! Was she popping them like M&Ms? Man she sure screwed up her kidneys. Is the renal insuffiency reversible?
So, INR is 28, age is 100, and BUN is 160- is that right?
yes.
That is correct
Remember that INR is logrithmic and not linear so an INR of 28 is not that different from an INR of 14 - the number just seems scarier. However, in a 100 year old neither an INR of 14 nor 28 is a good thing.
ohio, As far as I'm concerned, anything above 4 is a moot point to me. Then it's a matter of:
Are they bleeding or are they not bleeding? If they are having clinically significant bleeding it doesn't matter if their INR is 2 or 20, it's too high.
I generally don't treat any INR below 6-8 unless they are actively bleeding. Above 8-10, they'll get a whiff of Vit K.
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