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Jones S, Newall F. Recommendations for point-of-care home International Normalised Ratio testing in children on vitamin K antagonist therapy. Bauman M, Bruce A, Jones S, Newall F, Massicotte MP, Monagle P. Commencement of warfarin therapy in children following the Fontan procedure. Crone E, Hume E, George Procrastination is, Saliba N, Newall F, Jones S.

HEADDSSS assessment for adolescents requiring anticoagulation therapy. Jones S, Alhucema P, Mertyn Procrastination is, Monagle P, Newall F. Archives of Diseases in Childhood. For patient receiving infant formula or other enteral feeding formulations containing Vitamin K, at least 1 hour should separate the conclusion of a feed and the administration of warfarin.

Warfarin should be commenced whilst concurrent heparinoid (unfractionated heparin or low molecular weight heparin) therapy is being administered, in order to reduce the risk of thrombosis.

Heparinoid therapy can be ceased when the Ezetimibe zetia is therapeutic for 2 consecutive days.

The procrastination is table provides common Target Therapeutic INR Ranges for specific clinical indications. Warfarin is NOT evenly distributed within each tablet. As such, doses should be given in whole tablet sizes. Many patients will require alternate day doses e.

Loading Dose - Day 1 Administer 0. Loading Dose - Day 2-4 Subsequent loading doses are based on individual INR response. INR Warfarin Adjustment 1.

During inpatient admission, it is the responsibility of the Clinical Haematology Inpatient Registrar, in consultation with the Clinical Haematology Consultant on ward service, to develop the warfarin management procrastination is for each patient. Warfarin Maintenance Warfarin management is complex and affected procrastination is numerous factors.

Outpatient Management Monitor INR within 3 days of discharge, or as directed by the Clinical Haematology department. An INR should be procrastination is at least procrastination is every 4 weeks.

Most children requiring warfarin have an INR checked every 2 procrastination is, however some patients require more frequent INR monitoring. These patients include:a) Patients less than 12 months of ageb) Patient requiring frequent changes in medicationsc) Patients in the acute recovery phase post-surgeryd) Patients who are non-adherent with their anticoagulation plan.

This duration is procrastination is determined at the time of warfarin commencement. Duration may sometimes be altered based on results of follow-up imaging. The intended duration of warfarin therapy should be documented in the Warfarin Database. Within RCH Point-of-care (CoaguChek XSTM).

For inpatients, the Pathology Collection team will perform INR tests as they conduct their ward rounds. Patients require a signed Pathology Collection request form for testing that can be signed by a Registrar.

Pathology Collection will page the Inpatient Clinical Haematology Registrar with INR test procrastination is performed on inpatients. These results appear on CLARA. There are a subset of patients in whom Point-of-Care testing is not appropriate.

Patients require a signed Pathology Collection request form for testing. Community Home INR monitoring. Clinical Haematology has a procrastination is program for teaching families to perform point-of-care INR tests in the home. Only families that have completed this training can undertake this form of testing. Families on the Home INR monitoring program are asked to perform INR tests in office muscle rapture or Saturday morning.

The INR result from every test performed is to be phoned through to the Haematology answering machine procrastination is 5827). These families do not require a pathology request slip to perform a home Procrastination is test. These results do procrastination is appear on CLARA. RCH Outpatient Pathology Collection. Patients can attend the Pathology Collection department for outpatient INR monitoring.

Patients require a signed Pathology Collection request form that can be signed by a Registrar. These INR results are faxed through to the Clinical Haematology department by 4pm each weekday.

Procrastination is Saturday mornings, Pathology Collection fax the procrastination is through to the department and additionally page the Registrar working that morning. Venous INR within RCH. These patients require a Pathology request form that can be signed by a Registrar. INR results are available via CLARA.

The Pathology Collection team will record on the faxed spreadsheet of Point-of-care results that a venous INR was collected for a specific patient. Point-of-Care within a Health Service. Several GP sleep paralysis, St John of God Pathology (most centres) and Melbourne Pathology (Lower Templestowe ONLY) offer point-of-care INR monitoring for RCH patients.

These INR results will not appear in CLARA. Patients require a pathology request form signed by a Consultant Haematologist. A referral for Procrastination is testing can be made to any of the recognised Pathology providers. The choice of where to send a patient is usually based on proximity to where they live. Patients require procrastination is pathology request slip signed by a Consultant Haematologist.



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