Warfarin (Coumadin) Maintenance Dosing Flow Sheet
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1
2Family Medicine Centre
Place patient label here
The Ottawa Hospital – Civic Campus
DRAFT
Sept 8, 2006
®
Warfarin (Coumadin
) maintenance dosing flow sheet
Date warfarin started:
Duration of treatment:
Phone #1:
Phone #2:
OK to leave message?
Yes
No
Comments
Indication:
Atrial fibrillation
Mechanical valve
Other:
Target range:
2.0-3.0
2.5-3.5
Other:
Tablet strength(s) available
Date of
When to
Clinician signature & date
Patient notified
INR
INR
Warfarin dose
recheck INR
(MD/RN)
(initials, date, time)
(dd/mm/yy)
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