Practical Challenges in the Management of Oral Anticoagulation

Steven R. Kayser, PharmD

Prog Cardiovasc Nurs. 2005;20(2):80-85.

Management of Oral Anticoagulant Therapy

Close supervision and surveillance of warfarin is required to make therapy successful. The development of anticoagulation clinics has been the most important advance in therapy and they have been shown to maintain the INR more often within the therapeutic range, as well as preventing hemorrhage and subsequent emergency department admissions.^[6]

Point-of-care testing with devices which only require a fingerstick also facilitate testing and can be used at home by some patients.^[6,30] Some studies have shown that not only can patients perform their own testing, but they can also adjust their therapy utilizing provided algorithms.^[31]

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Cite this: Practical Challenges in the Management of Oral Anticoagulation - Medscape - May 01, 2005.

Introduction
Initiation of Therapy
Therapeutic Goal and Duration of Therapy
Interruption of Therapy
Bleeding Associated With Warfarin
Management of Oral Anticoagulant Therapy
Summary
References

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