Patient Cases · hospital
An INR of 8 and a chest infection
- 1. Chart
- 2. Assess each medication
- 3. Prioritize
- 4. Recommend
- 5. Debrief
Admitted after a nosebleed that would not stop, four days into an antibiotic course.
- Atrial fibrillation on warfarin for six years, INR historically stable between 2 and 3.
- Seen by an out-of-hours service four days ago for a productive cough and started on an antibiotic.
- Two days of gum bleeding and bruising; today a nosebleed lasting ninety minutes.
- Eating poorly since the infection began, and has not been managing her usual salads.
- Also bought something over the counter for the aches.