| Guideline | New, Old or BS |
|---|
| Abrubt discontinuation recommended over a taper? | |
| INRs from 4.5-10 recommend against routine use of Vit K? | |
| Treatment duration of unprovoked DVT is 6 months? | |
| For acute DVT in leg LMWH or fondaparinux are recommended about UFH? | |
| Pts with a mechanical aortic valve target INR 3 (2.5-3.5)? | |
| LWMH preferred over VKA in 1st, 2nd and 3rd trimester? | |
| Outpatient monitoring is preferred over self-management even if pt displays capability of independence? | |
| INR >10 no signs bleeding recommend IV over PO Vit K? | |
| Unprovoked PE w/ low-mod bleed risk tx extended duration preferred over 3 month tx? | |
| For minor dental procedures only recommendation is to continue VKA and use prohemostatic agent? | |
| For afib with recommendation for oral anticoag excluding mitral stenosis, CAD, stent, and ACS dabigatran BID is preferred to VKA? | |
| For afib with recommendation for oral anticoag excluding mitral stenosis, CAD, stent, and ACS dabigatran BID is preferred to VKA? | |
| Initial dose of warfarin for most pts is 5-10mg for first 1-2 days? | |
| Initial dose of warfarin for most pts is 5-10mg for first 1-2 days? | |
| Monitor pts on a stable dose of warfarin no longer than 6 wks? | |
| Monitor pts on a stable dose of warfarin no longer than 6 wks? | |
| Pts on long term coumadin with variable INR for unknown cause, start PO Vit K? | |
| Pts on long term coumadin with variable INR for unknown cause, start PO Vit K? | |
| Acute DVT initial tx with LMWH dosed once daily? | |
| Acute DVT initial tx with LMWH dosed once daily? | |
| After 3 mon tx of unprovoked DVT if pt wants less monitoring target INR 1.5-1.9? | |
| After 3 mon tx of unprovoked DVT if pt wants less monitoring target INR 1.5-1.9? | |
| Warfarin should be started after 48 - 72 hrs of heparin? | |
| Warfarin should be started after 48 - 72 hrs of heparin? | |
| Pt was controlled and presents with a single value 0.5 from goal continue current dose? | |
| Pt was controlled and presents with a single value 0.5 from goal continue current dose? | |
| Pts with a stable INR that present with a single low value recommend rebridging? | |
| Pts with a stable INR that present with a single low value recommend rebridging? | |
| INR >9 w/o sig bleeding hold warfarin and give 2.5-5mg Vit K? | |
| INR >9 w/o sig bleeding hold warfarin and give 2.5-5mg Vit K? | |
| Abrubt discontinuation recommended over a taper? | |
| Abrubt discontinuation recommended over a taper? | |
| INRs from 4.5-10 recommend against routine use of Vit K? | |
| INRs from 4.5-10 recommend against routine use of Vit K? | |
| Treatment duration of unprovoked DVT is 6 months? | |
| Treatment duration of unprovoked DVT is 6 months? | |
| For acute DVT in leg LMWH or fondaparinux are recommended about UFH? | |
| For acute DVT in leg LMWH or fondaparinux are recommended about UFH? | |
| Pts with a mechanical aortic valve target INR 3 (2.5-3.5)? | |
| Pts with a mechanical aortic valve target INR 3 (2.5-3.5)? | |
| LWMH preferred over VKA in 1st, 2nd and 3rd trimester? | |
| Outpatient monitoring is preferred over self-management? | |
| Outpatient monitoring is preferred over self-management? | |
| INR >10 no signs bleeding recommend IV over PO Vit K? | |
| INR >10 no signs bleeding recommend IV over PO Vit K? | |
| Unprovoked PE w/ low-mod bleed risk tx extended duration preferred over 3 month tx? | |
| Unprovoked PE w/ low-mod bleed risk tx extended duration preferred over 3 month tx? | |
| For minor dental procedures only recommendation is to continue VKA and use prohemostatic agent? | |
| For minor dental procedures only recommendation is to continue VKA and use prohemostatic agent? | |
