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INR self-monitoring

INR self-monitoring is used by patients on long-term and on lifetime anti-coagulation therapy to measure their INR (International Normalized Ratio) levels themselves, rather than at a clinic. People who self-monitor their INR levels use a portable INR monitor, as in a clinic, to take and test a drop of blood, drawn from a finger at scheduled times, and record the INR level measured by the monitor; moreover, the patient can either self-test or self-manage. INR self-monitoring is used by patients on long-term and on lifetime anti-coagulation therapy to measure their INR (International Normalized Ratio) levels themselves, rather than at a clinic. People who self-monitor their INR levels use a portable INR monitor, as in a clinic, to take and test a drop of blood, drawn from a finger at scheduled times, and record the INR level measured by the monitor; moreover, the patient can either self-test or self-manage. People on anti-coagulation therapy who are self-testing provide the INR reading they obtain from their monitor to their healthcare professionals at an agreed time, generally by telephone. The healthcare professional decides if any change to the warfarin dose is required and lets the person know what action is needed. A PT/INR meter can be obtained by contacting an Independent Diagnostic Testing Facility (IDTF). They are able to provide patients with all necessary testing equipment and bill the insurance for test results reported. People who self-manage adjust their warfarin doses themselves, following training with their healthcare professional. This means that if the INR reading obtained from their monitor is out of the normal therapeutic range, they are able to make an adjustment to their own warfarin dose by themselves. International normalized ratio (INR) which is a derivative of prothrombin time is a measurement of blood coagulation in the circulatory system. Both are used to determine the clotting rate of blood which can be affected by anticoagulant usage, liver damage and Vitamin K levels.

[ "Warfarin", "Therapeutic index" ]
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