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She Is Fine, Her PT/INR We Do At Home Is

Posted on Fri, 29 May 2020

Question: She is fine, her PT/INR we do at home is slightly less and we have adjusted the Acitrom doses as doctor suggested last time now she is having 17mg per week in order like this Mon-2,Tue-2, Wed-3, Thu-2, Fri-2, Sat-3, Sun-3

Last 3 INR result :

05/05: 1.83
21/04: 2.43
13/04: 1.41
04/03: 3.89
02/03: 3.04

Follow up: Dr. Bhanu Partap (0 minute later)

She is fine, her PT/INR we do at home is slightly less and we have adjusted the Acitrom doses as doctor suggested last time now she is having 17mg per week in order like this Mon-2,Tue-2, Wed-3, Thu-2, Fri-2, Sat-3, Sun-3

Last 3 INR result :

05/05: 1.83
21/04: 2.43
13/04: 1.41
04/03: 3.89
02/03: 3.04

Follow up: Dr. Bhanu Partap (17 minutes later)

when discharged from Hospital her Acitrom dose was 2 Mg everyday.. and from last 20 days we increased it to 16 Mg per week and now 17mg per week.

Follow up: Dr. Bhanu Partap (0 minute later)

when discharged from Hospital her Acitrom dose was 2 Mg everyday.. and from last 20 days we increased it to 16 Mg per week and now 17mg per week.

Answered by Dr. Bhanu Partap (1 hour later)

Brief Answer:
Need some more detail

Detailed Answer:
Hello

After going through the medical query raised by you I can understand your concern for your mother’s well-being but before proceeding with any medical suggestions I would like to ask you the primary question that why as it Rome has been started at first place

1. Was there any history of atrial fibrillation?
2. Any history of valve replacement?
3. Any history of blood clot in heart?
4. Any history of pulmonary embolism?

Also I would like to review her echocardiogram report, kindly upload it.

Kind Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Answered by Dr. Bhanu Partap (0 minute later)

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Bhanu Partap (44 minutes later)

She had a mitral valve replacement done during 1996. I am attaching few of the fresh reports now. pulmonary embolism may be identified during last hospitalization on XXXXXXX 2020.

Follow up: Dr. Bhanu Partap (0 minute later)

She had a mitral valve replacement done during 1996. I am attaching few of the fresh reports now. pulmonary embolism may be identified during last hospitalization on XXXXXXX 2020.

Answered by Dr. Bhanu Partap (3 minutes later)

Brief Answer:
Hello again

Detailed Answer:
Am not able to find any attachments. Probably they didn’t get uploaded. Kindly try reuploading them. Alternatively mail it to YYYY@YYYY

Kind Regards

Above answer was peer-reviewed by : Dr. Prasad

Answered by Dr. Bhanu Partap (0 minute later)

Brief Answer:
Hello again

Detailed Answer:
Am not able to find any attachments. Probably they didn’t get uploaded. Kindly try reuploading them. Alternatively mail it to YYYY@YYYY

Kind Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Bhanu Partap (14 hours later)

there was a typo on the email address.. i have sent it again now.

Follow up: Dr. Bhanu Partap (0 minute later)

there was a typo on the email address.. i have sent it again now.

Answered by Dr. Bhanu Partap (8 hours later)

Brief Answer:
Hello again

Detailed Answer:
Although I still didn’t got any attachment of reports but as I got answer to my question so I would like to tell you that the ideal INR value after valve replacement should be 2-2.5 and the INR report of 2.43 was the most ideal among all.

So as per the latest report (3.04) its slightly towards higher side. I would like to suggest you to kindly repeat it along with LFT test and revert back with reports.

Kind Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Answered by Dr. Bhanu Partap (0 minute later)

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Bhanu Partap (9 minutes later)

Doctor we consult at XXXXXXX asked us to keep this between 2.5 - 3.5.. and the recent test was 5th May and it was 1.83.

Follow up: Dr. Bhanu Partap (0 minute later)

Doctor we consult at XXXXXXX asked us to keep this between 2.5 - 3.5.. and the recent test was 5th May and it was 1.83.

Answered by Dr. Bhanu Partap (3 hours later)

Brief Answer:
Hello again

Detailed Answer:
At her age group an INR of 2.5 to a XXXXXXX of below 3 is ideal as more the INR more are the chances of internal bleed. Make 3 mg alternatively and check after 1 week again.

Kind Regards

Above answer was peer-reviewed by : Dr. Prasad

Answered by Dr. Bhanu Partap (0 minute later)

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Bhanu Partap (13 hours later)

Sure Sir.. Thank you.

Follow up: Dr. Bhanu Partap (0 minute later)

Sure Sir.. Thank you.

Answered by Dr. Bhanu Partap (1 minute later)

Brief Answer:
Hello again

Detailed Answer:
My pleasure. Kindly close the discussion and rate the answer.

Kind Regards

Above answer was peer-reviewed by : Dr. Kampana