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Coumadin Adjustment Calculator
Dec 21, 2024
•
Mark Morgan
categories:
pharmacology
This is an anticoagulation decision tool.
Coumadin Adjustment Calculator
This calculator guides a medical provider through adjustment of coumadin (warfarin) dosing.
1. Bleeding activity:
No significant bleeding.
Serious bleeding is present.
Life-threatening bleeding is present.
<--- Is bleeding present?
2. Current weekly dose:
2.5 mg
5.0 mg
7.5 mg
10.0 mg
12.5 mg
15.0 mg
17.5 mg
20.0 mg
22.5 mg
25.0 mg
27.5 mg
30.0 mg
32.5 mg
35.0 mg
37.5 mg
40.0 mg
42.5 mg
45.0 mg
47.5 mg
50.0 mg
52.5 mg
55.0 mg
57.5 mg
60.0 mg
62.5 mg
65.0 mg
67.5 mg
70.0 mg
<--- Add up all days' doses to get the current weekly dose (from 2.5 mg to 70 mg total per week)
3. INR Goal:
2 to 3
2.5 to 3.5
<--- Select the INR goal
4. Current INR:
INR less than 1.5 (below goal)
INR 1.5 - 1.7 (below goal)
INR 1.8 - 1.9 (below goal)
INR 2.0 - 3.0 (at goal)
INR 3.1 - 3.2 (above goal)
INR 3.3 - 3.9 (above goal)
INR 4.0 - 4.9 (above goal)
INR 5.0 - 8.9 (above goal)
INR 9.0+ (above goal)
<--- Select the current INR
INR less than 1.5 (below goal)
INR 1.5 - 2.2 (below goal)
INR 2.3 - 2.4 (below goal)
INR 2.5 - 3.5 (at goal)
INR 3.6 - 3.7 (above goal)
INR 3.8 - 4.4 (above goal)
INR 4.5 - 5.9 (above goal)
INR 6.0 - 8.9 (above goal)
INR 9.0+ (above goal)
<--- Select the current INR
5. Assessment and recommendations based on current INR zone:
Choose percentage increase.
10% increase. Recheck in 4-8 days.
15% increase. Recheck in 4-8 days.
20% increase. Recheck in 4-8 days.
INR less than 1.5. Recommended increase is 10 to 20%.
12.5 mg is the minimum weekly dose threshold to make a significant dosage change for this INR zone. You may also consider manually overriding if desired (see below).
Choose percentage increase.
5% increase. Recheck in 1 week.
7.5% increase. Recheck in 1 week.
10% increase. Recheck in 1 week.
INR 1.5 to 1.7. Recommended increase is 5 to 10%.
25 mg is the minimum weekly dose threshold to make a significant dosage change for this INR zone. You may also consider manually overriding if desired (see below).
Choose percentage increase, if any.
No change. Recheck in 1 week.
5% increase. Recheck in 1 week.
7.5% increase. Recheck in 1 week.
10% increase. Recheck in 1 week.
INR 1.8 to 1.9. Recommended increase is 5 to 10%.
25 mg is the minimum weekly dose threshold to make a significant dosage change for this INR zone. For this zone, it is often appropriate to leave the dose unchanged and simply recheck in 7 days. You may also consider manually overriding if desired (see below).
Choose below.
No change.
INR 2 to 3. No change is recommended.
No consecutive weeks in range, recheck in 5-10 days.
1 consecutive week in range, recheck in 5-10 days.
2 consecutive weeks in range, recheck in 2 weeks.
3 consecutive weeks in range, recheck in 3 weeks.
4 or more consecutive weeks in range, recheck in 4 weeks.
Number of consecutive weekly in-range INRs prior to this INR?
Choose percentage decrease, if any.
No change. Recheck in 1 week.
5% decrease. Recheck in 1 week.
7.5% decrease. Recheck in 1 week.
10% decrease. Recheck in 1 week.
INR 3.1 to 3.2. Recommended decrease is 5 to 10%.
25 mg is the minimum weekly dose threshold to make a significant dosage change for this INR zone. For this zone, it is often appropriate to leave the dose unchanged and simply recheck in 7 days. You may also consider manually overriding if desired (see below).
Choose percentage decrease.
5% decrease. Recheck in 1 week.
7.5% decrease. Recheck in 1 week.
10% decrease. Recheck in 1 week.
INR 3.3 to 3.9. Recommended decrease is 5 to 10%.
25 mg is the minimum weekly dose threshold to make a significant dosage change for this INR zone. You may also consider manually overriding if desired (see below).
Choose intervention.
10% decrease. Recheck in 4-8 days.
Hold for 1 day then 10% decrease. Recheck in 4-8 days.
INR 4.0 to 4.9. Recommendation is to hold for 0 - 1 day, then decrease 10%.
25 mg is the minimum weekly dose threshold to make a significant dosage change for this INR zone. You may also consider manually overriding if desired (see below).
Choose intervention.
Hold for 1 day, then 10% decrease.
Hold for 2 days, then 10% decrease.
Hold for 1 day, then 15% decrease.
Hold for 2 days, then 15% decrease.
Hold for 1 day, then 20% decrease.
Hold for 2 days, then 20% decrease.
Vitamin K 1.0 mg orally, monitor frequently.
Vitamin K 2.5 mg orally, monitor frequently.
INR 5.0 to 8.9. Recommendation is to hold for 1 - 2 days, decrease 10 to 20%, and consider vitamin K.
12.5 mg is the minimum weekly dose threshold to make a significant dosage change for this INR zone. You may also consider manually overriding if desired (see below).
Choose below.
Hold warfarin therapy; give vitamin K1 5.0 to 10 mg orally; monitor frequently. Resume at lower dose when INR is therapeutic.
INR 9.0 or more. Recommendation is to hold warfarin therapy; give vitamin K1 5.0 to 10 mg orally; monitor frequently. Resume at lower dose when INR is therapeutic.
Choose percentage increase.
10% increase. Recheck in 4-8 days.
15% increase. Recheck in 4-8 days.
20% increase. Recheck in 4-8 days.
INR less than 1.5. Recommended increase is 10 to 20%.
12.5 mg is the minimum weekly dose threshold to make a significant dosage change for this INR zone. You may also consider manually overriding if desired (see below).
Choose percentage increase.
5% increase. Recheck in 1 week.
7.5% increase. Recheck in 1 week.
10% increase. Recheck in 1 week.
INR 1.5 to 2.2. Recommended increase is 5 to 10%.
25 mg is the minimum weekly dose threshold to make a significant dosage change for this INR zone. You may also consider manually overriding if desired (see below).
Choose percentage increase, if any.
No change. Recheck in 1 week.
5% increase. Recheck in 1 week.
7.5% increase. Recheck in 1 week.
10% increase. Recheck in 1 week.
INR 2.3 to 2.4. Recommended increase is 5 to 10%.
25 mg is the minimum weekly dose threshold to make a significant dosage change for this INR zone. For this zone, it is often appropriate to leave the dose unchanged and simply recheck in 7 days. You may also consider manually overriding if desired (see below).
Choose below.
No change.
INR 2.5 to 3.5. No change is recommended.
No consecutive weeks in range, recheck in 5-10 days.
1 consecutive week in range, recheck in 5-10 days.
2 consecutive weeks in range, recheck in 2 weeks.
3 consecutive weeks in range, recheck in 3 weeks.
4 or more consecutive weeks in range, recheck in 4 weeks.
Number of consecutive weekly in-range INRs prior to this INR?
Choose percentage decrease, if any.
No change. Recheck in 1 week.
5% decrease. Recheck in 1 week.
7.5% decrease. Recheck in 1 week.
10% decrease. Recheck in 1 week.
INR 3.6 to 3.7. Recommended decrease is 5 to 10%.
25 mg is the minimum weekly dose threshold to make a significant dosage change for this INR zone. For this zone, it is often appropriate to leave the dose unchanged and simply recheck in 7 days. You may also consider manually overriding if desired (see below).
Choose percentage decrease.
5% decrease. Recheck in 1 week.
7.5% decrease. Recheck in 1 week.
10% decrease. Recheck in 1 week.
INR 3.8 to 4.4. Recommended decrease is 5 to 10%.
25 mg is the minimum weekly dose threshold to make a significant dosage change for this INR zone. You may also consider manually overriding if desired (see below).
25 mg is the minimum weekly dose threshold to make a significant dosage change for this INR zone. You may also consider manually overriding if desired (see below).
Choose intervention.
Hold for 1 day then 10% decrease. Recheck in 4-8 days.
Hold for 2 days then 10% decrease. Recheck in 4-8 days.
INR 4.5 to 5.9. Recommendation is to hold for 1 - 2 day, then decrease 10%.
25 mg is the minimum weekly dose threshold to make a significant dosage change for this INR zone. You may also consider manually overriding if desired (see below).
Choose intervention.
Hold for 1 day, then 10% decrease.
Hold for 2 days, then 10% decrease.
Hold for 1 day, then 15% decrease.
Hold for 2 days, then 15% decrease.
Hold for 1 day, then 20% decrease.
Hold for 2 days, then 20% decrease.
Vitamin K 1.0 mg orally, monitor frequently.
Vitamin K 2.5 mg orally, monitor frequently.
INR 6.0 to 8.9. Recommendation is to hold for 1 - 2 days, decrease 10 to 20%, and consider vitamin K.
12.5 mg is the minimum weekly dose threshold to make a significant dosage change for this INR zone. You may also consider manually overriding if desired (see below).
Choose below.
Hold warfarin therapy; give vitamin K1 5.0 to 10 mg orally; monitor frequently. Resume at lower dose when INR is therapeutic.
INR 9.0 or more. Recommendation is to hold warfarin therapy; give vitamin K1 5.0 to 10 mg orally; monitor frequently. Resume at lower dose when INR is therapeutic.
6. Pill size:
2.5 mg
5 mg
<--- Select pill size
7. Extra doses (override recommendations):
No
Override. Add 2.5 mg dose.
Override. Add 5 mg dose.
Override. Subtract 2.5 mg dose.
Override. Subtract 5 mg dose.
<--- Manual override: Add or subtract a 2.5 mg or 5 mg dose to new weekly total?
Adjustment selected:
score interpretation
score=(((INR2to3Low1)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>64.9?'NEW DOSE: 65 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 1 1/2, Sa 2, Su 2)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 1 1/2, Tu 2, W 1 1/2, Th 2, F 1 1/2, Sa 2, Su 2)':score>59.9?'NEW DOSE: 60 mg weekly (M 2, Tu 1 1/2, W 2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>54.9?'NEW DOSE: 55 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 1 1/2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>49.9?'NEW DOSE: 50 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>44.9?'NEW DOSE: 45 mg weekly (M 1, Tu 1 1/2, W 1, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 1 1/2, Tu 1, W 1 1/2, Th 1, F 1 1/2, Sa 1, Su 1)':score>39.9?'NEW DOSE: 40 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1 1/2, Sa 1, Su 1)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>34.9?'NEW DOSE: 35 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>29.9?'NEW DOSE: 30 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1/2, Sa 1, Su 1)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1/2, Tu 1, W 1/2, Th 1, F 1/2, Sa 1, Su 1)':score>24.9?'NEW DOSE: 25 mg weekly (M 1, Tu 1/2, W 1, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>19.9?'NEW DOSE: 20 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1/2, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>14.9?'NEW DOSE: 15 mg weekly (M 1/2, Tu 0, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 1/2, Su 1/2)':score>9.9?'NEW DOSE: 10 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 1/2)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 1/2, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2to3Low2)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>64.9?'NEW DOSE: 65 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 1 1/2, Sa 2, Su 2)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 1 1/2, Tu 2, W 1 1/2, Th 2, F 1 1/2, Sa 2, Su 2)':score>59.9?'NEW DOSE: 60 mg weekly (M 2, Tu 1 1/2, W 2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>54.9?'NEW DOSE: 55 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 1 1/2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>49.9?'NEW DOSE: 50 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>44.9?'NEW DOSE: 45 mg weekly (M 1, Tu 1 1/2, W 1, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 1 1/2, Tu 1, W 1 1/2, Th 1, F 1 1/2, Sa 1, Su 1)':score>39.9?'NEW DOSE: 40 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1 1/2, Sa 1, Su 1)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>34.9?'NEW DOSE: 35 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>29.9?'NEW DOSE: 30 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1/2, Sa 1, Su 1)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1/2, Tu 1, W 1/2, Th 1, F 1/2, Sa 1, Su 1)':score>24.9?'NEW DOSE: 25 mg weekly (M 1, Tu 1/2, W 1, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>19.9?'NEW DOSE: 20 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1/2, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>14.9?'NEW DOSE: 15 mg weekly (M 1/2, Tu 0, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 1/2, Su 1/2)':score>9.9?'NEW DOSE: 10 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 1/2)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 1/2, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2to3Low3)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>64.9?'NEW DOSE: 65 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 1 1/2, Sa 2, Su 2)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 1 1/2, Tu 2, W 1 1/2, Th 2, F 1 1/2, Sa 2, Su 2)':score>59.9?'NEW DOSE: 60 mg weekly (M 2, Tu 1 1/2, W 2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>54.9?'NEW DOSE: 55 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 1 1/2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>49.9?'NEW DOSE: 50 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>44.9?'NEW DOSE: 45 mg weekly (M 1, Tu 1 1/2, W 1, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 1 1/2, Tu 1, W 1 1/2, Th 1, F 1 1/2, Sa 1, Su 1)':score>39.9?'NEW DOSE: 40 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1 1/2, Sa 1, Su 1)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>34.9?'NEW DOSE: 35 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>29.9?'NEW DOSE: 30 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1/2, Sa 1, Su 1)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1/2, Tu 1, W 1/2, Th 1, F 1/2, Sa 1, Su 1)':score>24.9?'NEW DOSE: 25 mg weekly (M 1, Tu 1/2, W 1, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>19.9?'NEW DOSE: 20 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1/2, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>14.9?'NEW DOSE: 15 mg weekly (M 1/2, Tu 0, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 1/2, Su 1/2)':score>9.9?'NEW DOSE: 10 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 1/2)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 1/2, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2to3Controlled)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>64.9?'NEW DOSE: 65 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 1 1/2, Sa 2, Su 2)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 1 1/2, Tu 2, W 1 1/2, Th 2, F 1 1/2, Sa 2, Su 2)':score>59.9?'NEW DOSE: 60 mg weekly (M 2, Tu 1 1/2, W 2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>54.9?'NEW DOSE: 55 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 1 1/2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>49.9?'NEW DOSE: 50 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>44.9?'NEW DOSE: 45 mg weekly (M 1, Tu 1 1/2, W 1, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 1 1/2, Tu 1, W 1 1/2, Th 1, F 1 1/2, Sa 1, Su 1)':score>39.9?'NEW DOSE: 40 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1 1/2, Sa 1, Su 1)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>34.9?'NEW DOSE: 35 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>29.9?'NEW DOSE: 30 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1/2, Sa 1, Su 1)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1/2, Tu 1, W 1/2, Th 1, F 1/2, Sa 1, Su 1)':score>24.9?'NEW DOSE: 25 mg weekly (M 1, Tu 1/2, W 1, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>19.9?'NEW DOSE: 20 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1/2, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>14.9?'NEW DOSE: 15 mg weekly (M 1/2, Tu 0, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 1/2, Su 1/2)':score>9.9?'NEW DOSE: 10 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 1/2)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 1/2, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2to3High1)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>64.9?'NEW DOSE: 65 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 1 1/2, Sa 2, Su 2)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 1 1/2, Tu 2, W 1 1/2, Th 2, F 1 1/2, Sa 2, Su 2)':score>59.9?'NEW DOSE: 60 mg weekly (M 2, Tu 1 1/2, W 2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>54.9?'NEW DOSE: 55 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 1 1/2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>49.9?'NEW DOSE: 50 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>44.9?'NEW DOSE: 45 mg weekly (M 1, Tu 1 1/2, W 1, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 1 1/2, Tu 1, W 1 1/2, Th 1, F 1 1/2, Sa 1, Su 1)':score>39.9?'NEW DOSE: 40 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1 1/2, Sa 1, Su 1)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>34.9?'NEW DOSE: 35 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>29.9?'NEW DOSE: 30 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1/2, Sa 1, Su 1)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1/2, Tu 1, W 1/2, Th 1, F 1/2, Sa 1, Su 1)':score>24.9?'NEW DOSE: 25 mg weekly (M 1, Tu 1/2, W 1, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>19.9?'NEW DOSE: 20 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1/2, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>14.9?'NEW DOSE: 15 mg weekly (M 1/2, Tu 0, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 1/2, Su 1/2)':score>9.9?'NEW DOSE: 10 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 1/2)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 1/2, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2to3High2)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>64.9?'NEW DOSE: 65 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 1 1/2, Sa 2, Su 2)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 1 1/2, Tu 2, W 1 1/2, Th 2, F 1 1/2, Sa 2, Su 2)':score>59.9?'NEW DOSE: 60 mg weekly (M 2, Tu 1 1/2, W 2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>54.9?'NEW DOSE: 55 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 1 1/2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>49.9?'NEW DOSE: 50 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>44.9?'NEW DOSE: 45 mg weekly (M 1, Tu 1 1/2, W 1, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 1 1/2, Tu 1, W 1 1/2, Th 1, F 1 1/2, Sa 1, Su 1)':score>39.9?'NEW DOSE: 40 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1 1/2, Sa 1, Su 1)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>34.9?'NEW DOSE: 35 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>29.9?'NEW DOSE: 30 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1/2, Sa 1, Su 1)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1/2, Tu 1, W 1/2, Th 1, F 1/2, Sa 1, Su 1)':score>24.9?'NEW DOSE: 25 mg weekly (M 1, Tu 1/2, W 1, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>19.9?'NEW DOSE: 20 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1/2, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>14.9?'NEW DOSE: 15 mg weekly (M 1/2, Tu 0, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 1/2, Su 1/2)':score>9.9?'NEW DOSE: 10 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 1/2)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 1/2, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2to3High3)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>64.9?'NEW DOSE: 65 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 1 1/2, Sa 2, Su 2)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 1 1/2, Tu 2, W 1 1/2, Th 2, F 1 1/2, Sa 2, Su 2)':score>59.9?'NEW DOSE: 60 mg weekly (M 2, Tu 1 1/2, W 2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>54.9?'NEW DOSE: 55 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 1 1/2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>49.9?'NEW DOSE: 50 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>44.9?'NEW DOSE: 45 mg weekly (M 1, Tu 1 1/2, W 1, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 1 1/2, Tu 1, W 1 1/2, Th 1, F 1 1/2, Sa 1, Su 1)':score>39.9?'NEW DOSE: 40 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1 1/2, Sa 1, Su 1)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>34.9?'NEW DOSE: 35 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>29.9?'NEW DOSE: 30 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1/2, Sa 1, Su 1)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1/2, Tu 1, W 1/2, Th 1, F 1/2, Sa 1, Su 1)':score>24.9?'NEW DOSE: 25 mg weekly (M 1, Tu 1/2, W 1, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>19.9?'NEW DOSE: 20 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1/2, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>14.9?'NEW DOSE: 15 mg weekly (M 1/2, Tu 0, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 1/2, Su 1/2)':score>9.9?'NEW DOSE: 10 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 1/2)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 1/2, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2to3High4)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>64.9?'NEW DOSE: 65 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 1 1/2, Sa 2, Su 2)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 1 1/2, Tu 2, W 1 1/2, Th 2, F 1 1/2, Sa 2, Su 2)':score>59.9?'NEW DOSE: 60 mg weekly (M 2, Tu 1 1/2, W 2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>54.9?'NEW DOSE: 55 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 1 1/2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>49.9?'NEW DOSE: 50 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>44.9?'NEW DOSE: 45 mg weekly (M 1, Tu 1 1/2, W 1, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 1 1/2, Tu 1, W 1 1/2, Th 1, F 1 1/2, Sa 1, Su 1)':score>39.9?'NEW DOSE: 40 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1 1/2, Sa 1, Su 1)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>34.9?'NEW DOSE: 35 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>29.9?'NEW DOSE: 30 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1/2, Sa 1, Su 1)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1/2, Tu 1, W 1/2, Th 1, F 1/2, Sa 1, Su 1)':score>24.9?'NEW DOSE: 25 mg weekly (M 1, Tu 1/2, W 1, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>19.9?'NEW DOSE: 20 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1/2, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>14.9?'NEW DOSE: 15 mg weekly (M 1/2, Tu 0, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 1/2, Su 1/2)':score>9.9?'NEW DOSE: 10 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 1/2)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 1/2, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2to3High5)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>64.9?'NEW DOSE: 65 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 1 1/2, Sa 2, Su 2)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 1 1/2, Tu 2, W 1 1/2, Th 2, F 1 1/2, Sa 2, Su 2)':score>59.9?'NEW DOSE: 60 mg weekly (M 2, Tu 1 1/2, W 2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>54.9?'NEW DOSE: 55 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 1 1/2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>49.9?'NEW DOSE: 50 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>44.9?'NEW DOSE: 45 mg weekly (M 1, Tu 1 1/2, W 1, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 1 1/2, Tu 1, W 1 1/2, Th 1, F 1 1/2, Sa 1, Su 1)':score>39.9?'NEW DOSE: 40 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1 1/2, Sa 1, Su 1)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>34.9?'NEW DOSE: 35 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>29.9?'NEW DOSE: 30 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1/2, Sa 1, Su 1)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1/2, Tu 1, W 1/2, Th 1, F 1/2, Sa 1, Su 1)':score>24.9?'NEW DOSE: 25 mg weekly (M 1, Tu 1/2, W 1, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>19.9?'NEW DOSE: 20 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1/2, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>14.9?'NEW DOSE: 15 mg weekly (M 1/2, Tu 0, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 1/2, Su 1/2)':score>9.9?'NEW DOSE: 10 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 1/2)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 1/2, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2to3Low1)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 4, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 3, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>64.9?'NEW DOSE: 65 mg weekly (M 3, Tu 4, W 4, Th 4, F 3, Sa 4, Su 4)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 3, Tu 4, W 3, Th 4, F 3, Sa 4, Su 4)':score>59.9?'NEW DOSE: 60 mg weekly (M 4, Tu 3, W 4, Th 3, F 4, Sa 3, Su 3)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 4, Tu 3, W 3, Th 3, F 4, Sa 3, Su 3)':score>54.9?'NEW DOSE: 55 mg weekly (M 4, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 3, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>49.9?'NEW DOSE: 50 mg weekly (M 2, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 2, Tu 3, W 3, Th 3, F 2, Sa 3, Su 3)':score>44.9?'NEW DOSE: 45 mg weekly (M 2, Tu 3, W 2, Th 3, F 2, Sa 3, Su 3)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 3, Tu 2, W 3, Th 2, F 3, Sa 2, Su 2)':score>39.9?'NEW DOSE: 40 mg weekly (M 3, Tu 2, W 2, Th 2, F 3, Sa 2, Su 2)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 3, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>34.9?'NEW DOSE: 35 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>29.9?'NEW DOSE: 30 mg weekly (M 1, Tu 2, W 2, Th 2, F 1, Sa 2, Su 2)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1, Tu 2, W 1, Th 2, F 1, Sa 2, Su 2)':score>24.9?'NEW DOSE: 25 mg weekly (M 2, Tu 1, W 2, Th 1, F 2, Sa 1, Su 1)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 2, Tu 1, W 1, Th 1, F 2, Sa 1, Su 1)':score>19.9?'NEW DOSE: 20 mg weekly (M 2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>14.9?'NEW DOSE: 15 mg weekly (M 1, Tu 0, W 1, Th 1, F 1, Sa 1, Su 1)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 1, Su 1)':score>9.9?'NEW DOSE: 10 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 1)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1, Tu 0, W 0, Th 0, F 1, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2to3Low2)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 4, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 3, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>64.9?'NEW DOSE: 65 mg weekly (M 3, Tu 4, W 4, Th 4, F 3, Sa 4, Su 4)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 3, Tu 4, W 3, Th 4, F 3, Sa 4, Su 4)':score>59.9?'NEW DOSE: 60 mg weekly (M 4, Tu 3, W 4, Th 3, F 4, Sa 3, Su 3)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 4, Tu 3, W 3, Th 3, F 4, Sa 3, Su 3)':score>54.9?'NEW DOSE: 55 mg weekly (M 4, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 3, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>49.9?'NEW DOSE: 50 mg weekly (M 2, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 2, Tu 3, W 3, Th 3, F 2, Sa 3, Su 3)':score>44.9?'NEW DOSE: 45 mg weekly (M 2, Tu 3, W 2, Th 3, F 2, Sa 3, Su 3)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 3, Tu 2, W 3, Th 2, F 3, Sa 2, Su 2)':score>39.9?'NEW DOSE: 40 mg weekly (M 3, Tu 2, W 2, Th 2, F 3, Sa 2, Su 2)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 3, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>34.9?'NEW DOSE: 35 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>29.9?'NEW DOSE: 30 mg weekly (M 1, Tu 2, W 2, Th 2, F 1, Sa 2, Su 2)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1, Tu 2, W 1, Th 2, F 1, Sa 2, Su 2)':score>24.9?'NEW DOSE: 25 mg weekly (M 2, Tu 1, W 2, Th 1, F 2, Sa 1, Su 1)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 2, Tu 1, W 1, Th 1, F 2, Sa 1, Su 1)':score>19.9?'NEW DOSE: 20 mg weekly (M 2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>14.9?'NEW DOSE: 15 mg weekly (M 1, Tu 0, W 1, Th 1, F 1, Sa 1, Su 1)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 1, Su 1)':score>9.9?'NEW DOSE: 10 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 1)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1, Tu 0, W 0, Th 0, F 1, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2to3Low3)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 4, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 3, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>64.9?'NEW DOSE: 65 mg weekly (M 3, Tu 4, W 4, Th 4, F 3, Sa 4, Su 4)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 3, Tu 4, W 3, Th 4, F 3, Sa 4, Su 4)':score>59.9?'NEW DOSE: 60 mg weekly (M 4, Tu 3, W 4, Th 3, F 4, Sa 3, Su 3)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 4, Tu 3, W 3, Th 3, F 4, Sa 3, Su 3)':score>54.9?'NEW DOSE: 55 mg weekly (M 4, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 3, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>49.9?'NEW DOSE: 50 mg weekly (M 2, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 2, Tu 3, W 3, Th 3, F 2, Sa 3, Su 3)':score>44.9?'NEW DOSE: 45 mg weekly (M 2, Tu 3, W 2, Th 3, F 2, Sa 3, Su 3)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 3, Tu 2, W 3, Th 2, F 3, Sa 2, Su 2)':score>39.9?'NEW DOSE: 40 mg weekly (M 3, Tu 2, W 2, Th 2, F 3, Sa 2, Su 2)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 3, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>34.9?'NEW DOSE: 35 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>29.9?'NEW DOSE: 30 mg weekly (M 1, Tu 2, W 2, Th 2, F 1, Sa 2, Su 2)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1, Tu 2, W 1, Th 2, F 1, Sa 2, Su 2)':score>24.9?'NEW DOSE: 25 mg weekly (M 2, Tu 1, W 2, Th 1, F 2, Sa 1, Su 1)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 2, Tu 1, W 1, Th 1, F 2, Sa 1, Su 1)':score>19.9?'NEW DOSE: 20 mg weekly (M 2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>14.9?'NEW DOSE: 15 mg weekly (M 1, Tu 0, W 1, Th 1, F 1, Sa 1, Su 1)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 1, Su 1)':score>9.9?'NEW DOSE: 10 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 1)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1, Tu 0, W 0, Th 0, F 1, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2to3Controlled)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 4, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 3, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>64.9?'NEW DOSE: 65 mg weekly (M 3, Tu 4, W 4, Th 4, F 3, Sa 4, Su 4)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 3, Tu 4, W 3, Th 4, F 3, Sa 4, Su 4)':score>59.9?'NEW DOSE: 60 mg weekly (M 4, Tu 3, W 4, Th 3, F 4, Sa 3, Su 3)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 4, Tu 3, W 3, Th 3, F 4, Sa 3, Su 3)':score>54.9?'NEW DOSE: 55 mg weekly (M 4, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 3, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>49.9?'NEW DOSE: 50 mg weekly (M 2, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 2, Tu 3, W 3, Th 3, F 2, Sa 3, Su 3)':score>44.9?'NEW DOSE: 45 mg weekly (M 2, Tu 3, W 2, Th 3, F 2, Sa 3, Su 3)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 3, Tu 2, W 3, Th 2, F 3, Sa 2, Su 2)':score>39.9?'NEW DOSE: 40 mg weekly (M 3, Tu 2, W 2, Th 2, F 3, Sa 2, Su 2)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 3, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>34.9?'NEW DOSE: 35 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>29.9?'NEW DOSE: 30 mg weekly (M 1, Tu 2, W 2, Th 2, F 1, Sa 2, Su 2)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1, Tu 2, W 1, Th 2, F 1, Sa 2, Su 2)':score>24.9?'NEW DOSE: 25 mg weekly (M 2, Tu 1, W 2, Th 1, F 2, Sa 1, Su 1)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 2, Tu 1, W 1, Th 1, F 2, Sa 1, Su 1)':score>19.9?'NEW DOSE: 20 mg weekly (M 2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>14.9?'NEW DOSE: 15 mg weekly (M 1, Tu 0, W 1, Th 1, F 1, Sa 1, Su 1)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 1, Su 1)':score>9.9?'NEW DOSE: 10 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 1)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1, Tu 0, W 0, Th 0, F 1, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2to3High1)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 4, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 3, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>64.9?'NEW DOSE: 65 mg weekly (M 3, Tu 4, W 4, Th 4, F 3, Sa 4, Su 4)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 3, Tu 4, W 3, Th 4, F 3, Sa 4, Su 4)':score>59.9?'NEW DOSE: 60 mg weekly (M 4, Tu 3, W 4, Th 3, F 4, Sa 3, Su 3)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 4, Tu 3, W 3, Th 3, F 4, Sa 3, Su 3)':score>54.9?'NEW DOSE: 55 mg weekly (M 4, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 3, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>49.9?'NEW DOSE: 50 mg weekly (M 2, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 2, Tu 3, W 3, Th 3, F 2, Sa 3, Su 3)':score>44.9?'NEW DOSE: 45 mg weekly (M 2, Tu 3, W 2, Th 3, F 2, Sa 3, Su 3)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 3, Tu 2, W 3, Th 2, F 3, Sa 2, Su 2)':score>39.9?'NEW DOSE: 40 mg weekly (M 3, Tu 2, W 2, Th 2, F 3, Sa 2, Su 2)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 3, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>34.9?'NEW DOSE: 35 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>29.9?'NEW DOSE: 30 mg weekly (M 1, Tu 2, W 2, Th 2, F 1, Sa 2, Su 2)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1, Tu 2, W 1, Th 2, F 1, Sa 2, Su 2)':score>24.9?'NEW DOSE: 25 mg weekly (M 2, Tu 1, W 2, Th 1, F 2, Sa 1, Su 1)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 2, Tu 1, W 1, Th 1, F 2, Sa 1, Su 1)':score>19.9?'NEW DOSE: 20 mg weekly (M 2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>14.9?'NEW DOSE: 15 mg weekly (M 1, Tu 0, W 1, Th 1, F 1, Sa 1, Su 1)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 1, Su 1)':score>9.9?'NEW DOSE: 10 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 1)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1, Tu 0, W 0, Th 0, F 1, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2to3High2)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 4, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 3, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>64.9?'NEW DOSE: 65 mg weekly (M 3, Tu 4, W 4, Th 4, F 3, Sa 4, Su 4)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 3, Tu 4, W 3, Th 4, F 3, Sa 4, Su 4)':score>59.9?'NEW DOSE: 60 mg weekly (M 4, Tu 3, W 4, Th 3, F 4, Sa 3, Su 3)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 4, Tu 3, W 3, Th 3, F 4, Sa 3, Su 3)':score>54.9?'NEW DOSE: 55 mg weekly (M 4, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 3, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>49.9?'NEW DOSE: 50 mg weekly (M 2, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 2, Tu 3, W 3, Th 3, F 2, Sa 3, Su 3)':score>44.9?'NEW DOSE: 45 mg weekly (M 2, Tu 3, W 2, Th 3, F 2, Sa 3, Su 3)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 3, Tu 2, W 3, Th 2, F 3, Sa 2, Su 2)':score>39.9?'NEW DOSE: 40 mg weekly (M 3, Tu 2, W 2, Th 2, F 3, Sa 2, Su 2)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 3, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>34.9?'NEW DOSE: 35 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>29.9?'NEW DOSE: 30 mg weekly (M 1, Tu 2, W 2, Th 2, F 1, Sa 2, Su 2)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1, Tu 2, W 1, Th 2, F 1, Sa 2, Su 2)':score>24.9?'NEW DOSE: 25 mg weekly (M 2, Tu 1, W 2, Th 1, F 2, Sa 1, Su 1)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 2, Tu 1, W 1, Th 1, F 2, Sa 1, Su 1)':score>19.9?'NEW DOSE: 20 mg weekly (M 2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>14.9?'NEW DOSE: 15 mg weekly (M 1, Tu 0, W 1, Th 1, F 1, Sa 1, Su 1)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 1, Su 1)':score>9.9?'NEW DOSE: 10 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 1)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1, Tu 0, W 0, Th 0, F 1, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2to3High3)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 4, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 3, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>64.9?'NEW DOSE: 65 mg weekly (M 3, Tu 4, W 4, Th 4, F 3, Sa 4, Su 4)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 3, Tu 4, W 3, Th 4, F 3, Sa 4, Su 4)':score>59.9?'NEW DOSE: 60 mg weekly (M 4, Tu 3, W 4, Th 3, F 4, Sa 3, Su 3)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 4, Tu 3, W 3, Th 3, F 4, Sa 3, Su 3)':score>54.9?'NEW DOSE: 55 mg weekly (M 4, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 3, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>49.9?'NEW DOSE: 50 mg weekly (M 2, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 2, Tu 3, W 3, Th 3, F 2, Sa 3, Su 3)':score>44.9?'NEW DOSE: 45 mg weekly (M 2, Tu 3, W 2, Th 3, F 2, Sa 3, Su 3)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 3, Tu 2, W 3, Th 2, F 3, Sa 2, Su 2)':score>39.9?'NEW DOSE: 40 mg weekly (M 3, Tu 2, W 2, Th 2, F 3, Sa 2, Su 2)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 3, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>34.9?'NEW DOSE: 35 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>29.9?'NEW DOSE: 30 mg weekly (M 1, Tu 2, W 2, Th 2, F 1, Sa 2, Su 2)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1, Tu 2, W 1, Th 2, F 1, Sa 2, Su 2)':score>24.9?'NEW DOSE: 25 mg weekly (M 2, Tu 1, W 2, Th 1, F 2, Sa 1, Su 1)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 2, Tu 1, W 1, Th 1, F 2, Sa 1, Su 1)':score>19.9?'NEW DOSE: 20 mg weekly (M 2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>14.9?'NEW DOSE: 15 mg weekly (M 1, Tu 0, W 1, Th 1, F 1, Sa 1, Su 1)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 1, Su 1)':score>9.9?'NEW DOSE: 10 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 1)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1, Tu 0, W 0, Th 0, F 1, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2to3High4)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 4, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 3, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>64.9?'NEW DOSE: 65 mg weekly (M 3, Tu 4, W 4, Th 4, F 3, Sa 4, Su 4)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 3, Tu 4, W 3, Th 4, F 3, Sa 4, Su 4)':score>59.9?'NEW DOSE: 60 mg weekly (M 4, Tu 3, W 4, Th 3, F 4, Sa 3, Su 3)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 4, Tu 3, W 3, Th 3, F 4, Sa 3, Su 3)':score>54.9?'NEW DOSE: 55 mg weekly (M 4, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 3, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>49.9?'NEW DOSE: 50 mg weekly (M 2, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 2, Tu 3, W 3, Th 3, F 2, Sa 3, Su 3)':score>44.9?'NEW DOSE: 45 mg weekly (M 2, Tu 3, W 2, Th 3, F 2, Sa 3, Su 3)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 3, Tu 2, W 3, Th 2, F 3, Sa 2, Su 2)':score>39.9?'NEW DOSE: 40 mg weekly (M 3, Tu 2, W 2, Th 2, F 3, Sa 2, Su 2)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 3, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>34.9?'NEW DOSE: 35 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>29.9?'NEW DOSE: 30 mg weekly (M 1, Tu 2, W 2, Th 2, F 1, Sa 2, Su 2)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1, Tu 2, W 1, Th 2, F 1, Sa 2, Su 2)':score>24.9?'NEW DOSE: 25 mg weekly (M 2, Tu 1, W 2, Th 1, F 2, Sa 1, Su 1)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 2, Tu 1, W 1, Th 1, F 2, Sa 1, Su 1)':score>19.9?'NEW DOSE: 20 mg weekly (M 2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>14.9?'NEW DOSE: 15 mg weekly (M 1, Tu 0, W 1, Th 1, F 1, Sa 1, Su 1)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 1, Su 1)':score>9.9?'NEW DOSE: 10 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 1)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1, Tu 0, W 0, Th 0, F 1, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2to3High5)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 4, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 3, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>64.9?'NEW DOSE: 65 mg weekly (M 3, Tu 4, W 4, Th 4, F 3, Sa 4, Su 4)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 3, Tu 4, W 3, Th 4, F 3, Sa 4, Su 4)':score>59.9?'NEW DOSE: 60 mg weekly (M 4, Tu 3, W 4, Th 3, F 4, Sa 3, Su 3)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 4, Tu 3, W 3, Th 3, F 4, Sa 3, Su 3)':score>54.9?'NEW DOSE: 55 mg weekly (M 4, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 3, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>49.9?'NEW DOSE: 50 mg weekly (M 2, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 2, Tu 3, W 3, Th 3, F 2, Sa 3, Su 3)':score>44.9?'NEW DOSE: 45 mg weekly (M 2, Tu 3, W 2, Th 3, F 2, Sa 3, Su 3)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 3, Tu 2, W 3, Th 2, F 3, Sa 2, Su 2)':score>39.9?'NEW DOSE: 40 mg weekly (M 3, Tu 2, W 2, Th 2, F 3, Sa 2, Su 2)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 3, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>34.9?'NEW DOSE: 35 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>29.9?'NEW DOSE: 30 mg weekly (M 1, Tu 2, W 2, Th 2, F 1, Sa 2, Su 2)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1, Tu 2, W 1, Th 2, F 1, Sa 2, Su 2)':score>24.9?'NEW DOSE: 25 mg weekly (M 2, Tu 1, W 2, Th 1, F 2, Sa 1, Su 1)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 2, Tu 1, W 1, Th 1, F 2, Sa 1, Su 1)':score>19.9?'NEW DOSE: 20 mg weekly (M 2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>14.9?'NEW DOSE: 15 mg weekly (M 1, Tu 0, W 1, Th 1, F 1, Sa 1, Su 1)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 1, Su 1)':score>9.9?'NEW DOSE: 10 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 1)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1, Tu 0, W 0, Th 0, F 1, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2Halfto3HalfLow1)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>64.9?'NEW DOSE: 65 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 1 1/2, Sa 2, Su 2)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 1 1/2, Tu 2, W 1 1/2, Th 2, F 1 1/2, Sa 2, Su 2)':score>59.9?'NEW DOSE: 60 mg weekly (M 2, Tu 1 1/2, W 2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>54.9?'NEW DOSE: 55 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 1 1/2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>49.9?'NEW DOSE: 50 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>44.9?'NEW DOSE: 45 mg weekly (M 1, Tu 1 1/2, W 1, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 1 1/2, Tu 1, W 1 1/2, Th 1, F 1 1/2, Sa 1, Su 1)':score>39.9?'NEW DOSE: 40 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1 1/2, Sa 1, Su 1)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>34.9?'NEW DOSE: 35 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>29.9?'NEW DOSE: 30 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1/2, Sa 1, Su 1)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1/2, Tu 1, W 1/2, Th 1, F 1/2, Sa 1, Su 1)':score>24.9?'NEW DOSE: 25 mg weekly (M 1, Tu 1/2, W 1, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>19.9?'NEW DOSE: 20 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1/2, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>14.9?'NEW DOSE: 15 mg weekly (M 1/2, Tu 0, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 1/2, Su 1/2)':score>9.9?'NEW DOSE: 10 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 1/2)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 1/2, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2Halfto3HalfLow2)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>64.9?'NEW DOSE: 65 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 1 1/2, Sa 2, Su 2)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 1 1/2, Tu 2, W 1 1/2, Th 2, F 1 1/2, Sa 2, Su 2)':score>59.9?'NEW DOSE: 60 mg weekly (M 2, Tu 1 1/2, W 2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>54.9?'NEW DOSE: 55 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 1 1/2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>49.9?'NEW DOSE: 50 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>44.9?'NEW DOSE: 45 mg weekly (M 1, Tu 1 1/2, W 1, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 1 1/2, Tu 1, W 1 1/2, Th 1, F 1 1/2, Sa 1, Su 1)':score>39.9?'NEW DOSE: 40 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1 1/2, Sa 1, Su 1)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>34.9?'NEW DOSE: 35 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>29.9?'NEW DOSE: 30 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1/2, Sa 1, Su 1)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1/2, Tu 1, W 1/2, Th 1, F 1/2, Sa 1, Su 1)':score>24.9?'NEW DOSE: 25 mg weekly (M 1, Tu 1/2, W 1, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>19.9?'NEW DOSE: 20 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1/2, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>14.9?'NEW DOSE: 15 mg weekly (M 1/2, Tu 0, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 1/2, Su 1/2)':score>9.9?'NEW DOSE: 10 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 1/2)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 1/2, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2Halfto3HalfLow3)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>64.9?'NEW DOSE: 65 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 1 1/2, Sa 2, Su 2)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 1 1/2, Tu 2, W 1 1/2, Th 2, F 1 1/2, Sa 2, Su 2)':score>59.9?'NEW DOSE: 60 mg weekly (M 2, Tu 1 1/2, W 2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>54.9?'NEW DOSE: 55 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 1 1/2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>49.9?'NEW DOSE: 50 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>44.9?'NEW DOSE: 45 mg weekly (M 1, Tu 1 1/2, W 1, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 1 1/2, Tu 1, W 1 1/2, Th 1, F 1 1/2, Sa 1, Su 1)':score>39.9?'NEW DOSE: 40 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1 1/2, Sa 1, Su 1)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>34.9?'NEW DOSE: 35 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>29.9?'NEW DOSE: 30 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1/2, Sa 1, Su 1)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1/2, Tu 1, W 1/2, Th 1, F 1/2, Sa 1, Su 1)':score>24.9?'NEW DOSE: 25 mg weekly (M 1, Tu 1/2, W 1, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>19.9?'NEW DOSE: 20 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1/2, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>14.9?'NEW DOSE: 15 mg weekly (M 1/2, Tu 0, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 1/2, Su 1/2)':score>9.9?'NEW DOSE: 10 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 1/2)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 1/2, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2Halfto3HalfControlled)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>64.9?'NEW DOSE: 65 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 1 1/2, Sa 2, Su 2)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 1 1/2, Tu 2, W 1 1/2, Th 2, F 1 1/2, Sa 2, Su 2)':score>59.9?'NEW DOSE: 60 mg weekly (M 2, Tu 1 1/2, W 2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>54.9?'NEW DOSE: 55 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 1 1/2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>49.9?'NEW DOSE: 50 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>44.9?'NEW DOSE: 45 mg weekly (M 1, Tu 1 1/2, W 1, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 1 1/2, Tu 1, W 1 1/2, Th 1, F 1 1/2, Sa 1, Su 1)':score>39.9?'NEW DOSE: 40 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1 1/2, Sa 1, Su 1)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>34.9?'NEW DOSE: 35 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>29.9?'NEW DOSE: 30 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1/2, Sa 1, Su 1)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1/2, Tu 1, W 1/2, Th 1, F 1/2, Sa 1, Su 1)':score>24.9?'NEW DOSE: 25 mg weekly (M 1, Tu 1/2, W 1, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>19.9?'NEW DOSE: 20 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1/2, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>14.9?'NEW DOSE: 15 mg weekly (M 1/2, Tu 0, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 1/2, Su 1/2)':score>9.9?'NEW DOSE: 10 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 1/2)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 1/2, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2Halfto3HalfHigh1)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>64.9?'NEW DOSE: 65 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 1 1/2, Sa 2, Su 2)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 1 1/2, Tu 2, W 1 1/2, Th 2, F 1 1/2, Sa 2, Su 2)':score>59.9?'NEW DOSE: 60 mg weekly (M 2, Tu 1 1/2, W 2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>54.9?'NEW DOSE: 55 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 1 1/2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>49.9?'NEW DOSE: 50 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>44.9?'NEW DOSE: 45 mg weekly (M 1, Tu 1 1/2, W 1, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 1 1/2, Tu 1, W 1 1/2, Th 1, F 1 1/2, Sa 1, Su 1)':score>39.9?'NEW DOSE: 40 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1 1/2, Sa 1, Su 1)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>34.9?'NEW DOSE: 35 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>29.9?'NEW DOSE: 30 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1/2, Sa 1, Su 1)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1/2, Tu 1, W 1/2, Th 1, F 1/2, Sa 1, Su 1)':score>24.9?'NEW DOSE: 25 mg weekly (M 1, Tu 1/2, W 1, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>19.9?'NEW DOSE: 20 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1/2, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>14.9?'NEW DOSE: 15 mg weekly (M 1/2, Tu 0, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 1/2, Su 1/2)':score>9.9?'NEW DOSE: 10 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 1/2)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 1/2, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2Halfto3HalfHigh2)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>64.9?'NEW DOSE: 65 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 1 1/2, Sa 2, Su 2)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 1 1/2, Tu 2, W 1 1/2, Th 2, F 1 1/2, Sa 2, Su 2)':score>59.9?'NEW DOSE: 60 mg weekly (M 2, Tu 1 1/2, W 2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>54.9?'NEW DOSE: 55 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 1 1/2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>49.9?'NEW DOSE: 50 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>44.9?'NEW DOSE: 45 mg weekly (M 1, Tu 1 1/2, W 1, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 1 1/2, Tu 1, W 1 1/2, Th 1, F 1 1/2, Sa 1, Su 1)':score>39.9?'NEW DOSE: 40 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1 1/2, Sa 1, Su 1)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>34.9?'NEW DOSE: 35 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>29.9?'NEW DOSE: 30 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1/2, Sa 1, Su 1)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1/2, Tu 1, W 1/2, Th 1, F 1/2, Sa 1, Su 1)':score>24.9?'NEW DOSE: 25 mg weekly (M 1, Tu 1/2, W 1, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>19.9?'NEW DOSE: 20 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1/2, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>14.9?'NEW DOSE: 15 mg weekly (M 1/2, Tu 0, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 1/2, Su 1/2)':score>9.9?'NEW DOSE: 10 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 1/2)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 1/2, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2Halfto3HalfHigh3)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>64.9?'NEW DOSE: 65 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 1 1/2, Sa 2, Su 2)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 1 1/2, Tu 2, W 1 1/2, Th 2, F 1 1/2, Sa 2, Su 2)':score>59.9?'NEW DOSE: 60 mg weekly (M 2, Tu 1 1/2, W 2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>54.9?'NEW DOSE: 55 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 1 1/2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>49.9?'NEW DOSE: 50 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>44.9?'NEW DOSE: 45 mg weekly (M 1, Tu 1 1/2, W 1, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 1 1/2, Tu 1, W 1 1/2, Th 1, F 1 1/2, Sa 1, Su 1)':score>39.9?'NEW DOSE: 40 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1 1/2, Sa 1, Su 1)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>34.9?'NEW DOSE: 35 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>29.9?'NEW DOSE: 30 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1/2, Sa 1, Su 1)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1/2, Tu 1, W 1/2, Th 1, F 1/2, Sa 1, Su 1)':score>24.9?'NEW DOSE: 25 mg weekly (M 1, Tu 1/2, W 1, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>19.9?'NEW DOSE: 20 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1/2, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>14.9?'NEW DOSE: 15 mg weekly (M 1/2, Tu 0, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 1/2, Su 1/2)':score>9.9?'NEW DOSE: 10 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 1/2)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 1/2, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2Halfto3HalfHigh4)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>64.9?'NEW DOSE: 65 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 1 1/2, Sa 2, Su 2)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 1 1/2, Tu 2, W 1 1/2, Th 2, F 1 1/2, Sa 2, Su 2)':score>59.9?'NEW DOSE: 60 mg weekly (M 2, Tu 1 1/2, W 2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>54.9?'NEW DOSE: 55 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 1 1/2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>49.9?'NEW DOSE: 50 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>44.9?'NEW DOSE: 45 mg weekly (M 1, Tu 1 1/2, W 1, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 1 1/2, Tu 1, W 1 1/2, Th 1, F 1 1/2, Sa 1, Su 1)':score>39.9?'NEW DOSE: 40 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1 1/2, Sa 1, Su 1)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>34.9?'NEW DOSE: 35 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>29.9?'NEW DOSE: 30 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1/2, Sa 1, Su 1)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1/2, Tu 1, W 1/2, Th 1, F 1/2, Sa 1, Su 1)':score>24.9?'NEW DOSE: 25 mg weekly (M 1, Tu 1/2, W 1, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>19.9?'NEW DOSE: 20 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1/2, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>14.9?'NEW DOSE: 15 mg weekly (M 1/2, Tu 0, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 1/2, Su 1/2)':score>9.9?'NEW DOSE: 10 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 1/2)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 1/2, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2Halfto3HalfHigh5)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>64.9?'NEW DOSE: 65 mg weekly (M 1 1/2, Tu 2, W 2, Th 2, F 1 1/2, Sa 2, Su 2)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 1 1/2, Tu 2, W 1 1/2, Th 2, F 1 1/2, Sa 2, Su 2)':score>59.9?'NEW DOSE: 60 mg weekly (M 2, Tu 1 1/2, W 2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 2, Sa 1 1/2, Su 1 1/2)':score>54.9?'NEW DOSE: 55 mg weekly (M 2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 1 1/2, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>49.9?'NEW DOSE: 50 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1 1/2, Sa 1 1/2, Su 1 1/2)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 1, Tu 1 1/2, W 1 1/2, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>44.9?'NEW DOSE: 45 mg weekly (M 1, Tu 1 1/2, W 1, Th 1 1/2, F 1, Sa 1 1/2, Su 1 1/2)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 1 1/2, Tu 1, W 1 1/2, Th 1, F 1 1/2, Sa 1, Su 1)':score>39.9?'NEW DOSE: 40 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1 1/2, Sa 1, Su 1)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 1 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>34.9?'NEW DOSE: 35 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>29.9?'NEW DOSE: 30 mg weekly (M 1/2, Tu 1, W 1, Th 1, F 1/2, Sa 1, Su 1)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1/2, Tu 1, W 1/2, Th 1, F 1/2, Sa 1, Su 1)':score>24.9?'NEW DOSE: 25 mg weekly (M 1, Tu 1/2, W 1, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1, Sa 1/2, Su 1/2)':score>19.9?'NEW DOSE: 20 mg weekly (M 1, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1/2, Tu 1/2, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>14.9?'NEW DOSE: 15 mg weekly (M 1/2, Tu 0, W 1/2, Th 1/2, F 1/2, Sa 1/2, Su 1/2)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 1/2, Su 1/2)':score>9.9?'NEW DOSE: 10 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 1/2)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1/2, Tu 0, W 1/2, Th 0, F 1/2, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 1/2, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1/2, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2Halfto3HalfLow1)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 4, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 3, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>64.9?'NEW DOSE: 65 mg weekly (M 3, Tu 4, W 4, Th 4, F 3, Sa 4, Su 4)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 3, Tu 4, W 3, Th 4, F 3, Sa 4, Su 4)':score>59.9?'NEW DOSE: 60 mg weekly (M 4, Tu 3, W 4, Th 3, F 4, Sa 3, Su 3)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 4, Tu 3, W 3, Th 3, F 4, Sa 3, Su 3)':score>54.9?'NEW DOSE: 55 mg weekly (M 4, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 3, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>49.9?'NEW DOSE: 50 mg weekly (M 2, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 2, Tu 3, W 3, Th 3, F 2, Sa 3, Su 3)':score>44.9?'NEW DOSE: 45 mg weekly (M 2, Tu 3, W 2, Th 3, F 2, Sa 3, Su 3)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 3, Tu 2, W 3, Th 2, F 3, Sa 2, Su 2)':score>39.9?'NEW DOSE: 40 mg weekly (M 3, Tu 2, W 2, Th 2, F 3, Sa 2, Su 2)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 3, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>34.9?'NEW DOSE: 35 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>29.9?'NEW DOSE: 30 mg weekly (M 1, Tu 2, W 2, Th 2, F 1, Sa 2, Su 2)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1, Tu 2, W 1, Th 2, F 1, Sa 2, Su 2)':score>24.9?'NEW DOSE: 25 mg weekly (M 2, Tu 1, W 2, Th 1, F 2, Sa 1, Su 1)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 2, Tu 1, W 1, Th 1, F 2, Sa 1, Su 1)':score>19.9?'NEW DOSE: 20 mg weekly (M 2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>14.9?'NEW DOSE: 15 mg weekly (M 1, Tu 0, W 1, Th 1, F 1, Sa 1, Su 1)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 1, Su 1)':score>9.9?'NEW DOSE: 10 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 1)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1, Tu 0, W 0, Th 0, F 1, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2Halfto3HalfLow2)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 4, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 3, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>64.9?'NEW DOSE: 65 mg weekly (M 3, Tu 4, W 4, Th 4, F 3, Sa 4, Su 4)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 3, Tu 4, W 3, Th 4, F 3, Sa 4, Su 4)':score>59.9?'NEW DOSE: 60 mg weekly (M 4, Tu 3, W 4, Th 3, F 4, Sa 3, Su 3)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 4, Tu 3, W 3, Th 3, F 4, Sa 3, Su 3)':score>54.9?'NEW DOSE: 55 mg weekly (M 4, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 3, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>49.9?'NEW DOSE: 50 mg weekly (M 2, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 2, Tu 3, W 3, Th 3, F 2, Sa 3, Su 3)':score>44.9?'NEW DOSE: 45 mg weekly (M 2, Tu 3, W 2, Th 3, F 2, Sa 3, Su 3)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 3, Tu 2, W 3, Th 2, F 3, Sa 2, Su 2)':score>39.9?'NEW DOSE: 40 mg weekly (M 3, Tu 2, W 2, Th 2, F 3, Sa 2, Su 2)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 3, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>34.9?'NEW DOSE: 35 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>29.9?'NEW DOSE: 30 mg weekly (M 1, Tu 2, W 2, Th 2, F 1, Sa 2, Su 2)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1, Tu 2, W 1, Th 2, F 1, Sa 2, Su 2)':score>24.9?'NEW DOSE: 25 mg weekly (M 2, Tu 1, W 2, Th 1, F 2, Sa 1, Su 1)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 2, Tu 1, W 1, Th 1, F 2, Sa 1, Su 1)':score>19.9?'NEW DOSE: 20 mg weekly (M 2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>14.9?'NEW DOSE: 15 mg weekly (M 1, Tu 0, W 1, Th 1, F 1, Sa 1, Su 1)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 1, Su 1)':score>9.9?'NEW DOSE: 10 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 1)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1, Tu 0, W 0, Th 0, F 1, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2Halfto3HalfLow3)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 4, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 3, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>64.9?'NEW DOSE: 65 mg weekly (M 3, Tu 4, W 4, Th 4, F 3, Sa 4, Su 4)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 3, Tu 4, W 3, Th 4, F 3, Sa 4, Su 4)':score>59.9?'NEW DOSE: 60 mg weekly (M 4, Tu 3, W 4, Th 3, F 4, Sa 3, Su 3)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 4, Tu 3, W 3, Th 3, F 4, Sa 3, Su 3)':score>54.9?'NEW DOSE: 55 mg weekly (M 4, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 3, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>49.9?'NEW DOSE: 50 mg weekly (M 2, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 2, Tu 3, W 3, Th 3, F 2, Sa 3, Su 3)':score>44.9?'NEW DOSE: 45 mg weekly (M 2, Tu 3, W 2, Th 3, F 2, Sa 3, Su 3)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 3, Tu 2, W 3, Th 2, F 3, Sa 2, Su 2)':score>39.9?'NEW DOSE: 40 mg weekly (M 3, Tu 2, W 2, Th 2, F 3, Sa 2, Su 2)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 3, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>34.9?'NEW DOSE: 35 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>29.9?'NEW DOSE: 30 mg weekly (M 1, Tu 2, W 2, Th 2, F 1, Sa 2, Su 2)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1, Tu 2, W 1, Th 2, F 1, Sa 2, Su 2)':score>24.9?'NEW DOSE: 25 mg weekly (M 2, Tu 1, W 2, Th 1, F 2, Sa 1, Su 1)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 2, Tu 1, W 1, Th 1, F 2, Sa 1, Su 1)':score>19.9?'NEW DOSE: 20 mg weekly (M 2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>14.9?'NEW DOSE: 15 mg weekly (M 1, Tu 0, W 1, Th 1, F 1, Sa 1, Su 1)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 1, Su 1)':score>9.9?'NEW DOSE: 10 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 1)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1, Tu 0, W 0, Th 0, F 1, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2Halfto3HalfControlled)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 4, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 3, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>64.9?'NEW DOSE: 65 mg weekly (M 3, Tu 4, W 4, Th 4, F 3, Sa 4, Su 4)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 3, Tu 4, W 3, Th 4, F 3, Sa 4, Su 4)':score>59.9?'NEW DOSE: 60 mg weekly (M 4, Tu 3, W 4, Th 3, F 4, Sa 3, Su 3)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 4, Tu 3, W 3, Th 3, F 4, Sa 3, Su 3)':score>54.9?'NEW DOSE: 55 mg weekly (M 4, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 3, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>49.9?'NEW DOSE: 50 mg weekly (M 2, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 2, Tu 3, W 3, Th 3, F 2, Sa 3, Su 3)':score>44.9?'NEW DOSE: 45 mg weekly (M 2, Tu 3, W 2, Th 3, F 2, Sa 3, Su 3)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 3, Tu 2, W 3, Th 2, F 3, Sa 2, Su 2)':score>39.9?'NEW DOSE: 40 mg weekly (M 3, Tu 2, W 2, Th 2, F 3, Sa 2, Su 2)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 3, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>34.9?'NEW DOSE: 35 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>29.9?'NEW DOSE: 30 mg weekly (M 1, Tu 2, W 2, Th 2, F 1, Sa 2, Su 2)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1, Tu 2, W 1, Th 2, F 1, Sa 2, Su 2)':score>24.9?'NEW DOSE: 25 mg weekly (M 2, Tu 1, W 2, Th 1, F 2, Sa 1, Su 1)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 2, Tu 1, W 1, Th 1, F 2, Sa 1, Su 1)':score>19.9?'NEW DOSE: 20 mg weekly (M 2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>14.9?'NEW DOSE: 15 mg weekly (M 1, Tu 0, W 1, Th 1, F 1, Sa 1, Su 1)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 1, Su 1)':score>9.9?'NEW DOSE: 10 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 1)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1, Tu 0, W 0, Th 0, F 1, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2Halfto3HalfHigh1)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 4, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 3, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>64.9?'NEW DOSE: 65 mg weekly (M 3, Tu 4, W 4, Th 4, F 3, Sa 4, Su 4)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 3, Tu 4, W 3, Th 4, F 3, Sa 4, Su 4)':score>59.9?'NEW DOSE: 60 mg weekly (M 4, Tu 3, W 4, Th 3, F 4, Sa 3, Su 3)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 4, Tu 3, W 3, Th 3, F 4, Sa 3, Su 3)':score>54.9?'NEW DOSE: 55 mg weekly (M 4, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 3, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>49.9?'NEW DOSE: 50 mg weekly (M 2, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 2, Tu 3, W 3, Th 3, F 2, Sa 3, Su 3)':score>44.9?'NEW DOSE: 45 mg weekly (M 2, Tu 3, W 2, Th 3, F 2, Sa 3, Su 3)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 3, Tu 2, W 3, Th 2, F 3, Sa 2, Su 2)':score>39.9?'NEW DOSE: 40 mg weekly (M 3, Tu 2, W 2, Th 2, F 3, Sa 2, Su 2)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 3, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>34.9?'NEW DOSE: 35 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>29.9?'NEW DOSE: 30 mg weekly (M 1, Tu 2, W 2, Th 2, F 1, Sa 2, Su 2)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1, Tu 2, W 1, Th 2, F 1, Sa 2, Su 2)':score>24.9?'NEW DOSE: 25 mg weekly (M 2, Tu 1, W 2, Th 1, F 2, Sa 1, Su 1)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 2, Tu 1, W 1, Th 1, F 2, Sa 1, Su 1)':score>19.9?'NEW DOSE: 20 mg weekly (M 2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>14.9?'NEW DOSE: 15 mg weekly (M 1, Tu 0, W 1, Th 1, F 1, Sa 1, Su 1)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 1, Su 1)':score>9.9?'NEW DOSE: 10 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 1)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1, Tu 0, W 0, Th 0, F 1, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2Halfto3HalfHigh2)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 4, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 3, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>64.9?'NEW DOSE: 65 mg weekly (M 3, Tu 4, W 4, Th 4, F 3, Sa 4, Su 4)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 3, Tu 4, W 3, Th 4, F 3, Sa 4, Su 4)':score>59.9?'NEW DOSE: 60 mg weekly (M 4, Tu 3, W 4, Th 3, F 4, Sa 3, Su 3)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 4, Tu 3, W 3, Th 3, F 4, Sa 3, Su 3)':score>54.9?'NEW DOSE: 55 mg weekly (M 4, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 3, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>49.9?'NEW DOSE: 50 mg weekly (M 2, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 2, Tu 3, W 3, Th 3, F 2, Sa 3, Su 3)':score>44.9?'NEW DOSE: 45 mg weekly (M 2, Tu 3, W 2, Th 3, F 2, Sa 3, Su 3)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 3, Tu 2, W 3, Th 2, F 3, Sa 2, Su 2)':score>39.9?'NEW DOSE: 40 mg weekly (M 3, Tu 2, W 2, Th 2, F 3, Sa 2, Su 2)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 3, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>34.9?'NEW DOSE: 35 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>29.9?'NEW DOSE: 30 mg weekly (M 1, Tu 2, W 2, Th 2, F 1, Sa 2, Su 2)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1, Tu 2, W 1, Th 2, F 1, Sa 2, Su 2)':score>24.9?'NEW DOSE: 25 mg weekly (M 2, Tu 1, W 2, Th 1, F 2, Sa 1, Su 1)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 2, Tu 1, W 1, Th 1, F 2, Sa 1, Su 1)':score>19.9?'NEW DOSE: 20 mg weekly (M 2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>14.9?'NEW DOSE: 15 mg weekly (M 1, Tu 0, W 1, Th 1, F 1, Sa 1, Su 1)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 1, Su 1)':score>9.9?'NEW DOSE: 10 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 1)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1, Tu 0, W 0, Th 0, F 1, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2Halfto3HalfHigh3)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 4, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 3, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>64.9?'NEW DOSE: 65 mg weekly (M 3, Tu 4, W 4, Th 4, F 3, Sa 4, Su 4)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 3, Tu 4, W 3, Th 4, F 3, Sa 4, Su 4)':score>59.9?'NEW DOSE: 60 mg weekly (M 4, Tu 3, W 4, Th 3, F 4, Sa 3, Su 3)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 4, Tu 3, W 3, Th 3, F 4, Sa 3, Su 3)':score>54.9?'NEW DOSE: 55 mg weekly (M 4, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 3, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>49.9?'NEW DOSE: 50 mg weekly (M 2, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 2, Tu 3, W 3, Th 3, F 2, Sa 3, Su 3)':score>44.9?'NEW DOSE: 45 mg weekly (M 2, Tu 3, W 2, Th 3, F 2, Sa 3, Su 3)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 3, Tu 2, W 3, Th 2, F 3, Sa 2, Su 2)':score>39.9?'NEW DOSE: 40 mg weekly (M 3, Tu 2, W 2, Th 2, F 3, Sa 2, Su 2)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 3, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>34.9?'NEW DOSE: 35 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>29.9?'NEW DOSE: 30 mg weekly (M 1, Tu 2, W 2, Th 2, F 1, Sa 2, Su 2)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1, Tu 2, W 1, Th 2, F 1, Sa 2, Su 2)':score>24.9?'NEW DOSE: 25 mg weekly (M 2, Tu 1, W 2, Th 1, F 2, Sa 1, Su 1)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 2, Tu 1, W 1, Th 1, F 2, Sa 1, Su 1)':score>19.9?'NEW DOSE: 20 mg weekly (M 2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>14.9?'NEW DOSE: 15 mg weekly (M 1, Tu 0, W 1, Th 1, F 1, Sa 1, Su 1)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 1, Su 1)':score>9.9?'NEW DOSE: 10 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 1)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1, Tu 0, W 0, Th 0, F 1, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2Halfto3HalfHigh4)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 4, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 3, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>64.9?'NEW DOSE: 65 mg weekly (M 3, Tu 4, W 4, Th 4, F 3, Sa 4, Su 4)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 3, Tu 4, W 3, Th 4, F 3, Sa 4, Su 4)':score>59.9?'NEW DOSE: 60 mg weekly (M 4, Tu 3, W 4, Th 3, F 4, Sa 3, Su 3)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 4, Tu 3, W 3, Th 3, F 4, Sa 3, Su 3)':score>54.9?'NEW DOSE: 55 mg weekly (M 4, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 3, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>49.9?'NEW DOSE: 50 mg weekly (M 2, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 2, Tu 3, W 3, Th 3, F 2, Sa 3, Su 3)':score>44.9?'NEW DOSE: 45 mg weekly (M 2, Tu 3, W 2, Th 3, F 2, Sa 3, Su 3)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 3, Tu 2, W 3, Th 2, F 3, Sa 2, Su 2)':score>39.9?'NEW DOSE: 40 mg weekly (M 3, Tu 2, W 2, Th 2, F 3, Sa 2, Su 2)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 3, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>34.9?'NEW DOSE: 35 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>29.9?'NEW DOSE: 30 mg weekly (M 1, Tu 2, W 2, Th 2, F 1, Sa 2, Su 2)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1, Tu 2, W 1, Th 2, F 1, Sa 2, Su 2)':score>24.9?'NEW DOSE: 25 mg weekly (M 2, Tu 1, W 2, Th 1, F 2, Sa 1, Su 1)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 2, Tu 1, W 1, Th 1, F 2, Sa 1, Su 1)':score>19.9?'NEW DOSE: 20 mg weekly (M 2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>14.9?'NEW DOSE: 15 mg weekly (M 1, Tu 0, W 1, Th 1, F 1, Sa 1, Su 1)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 1, Su 1)':score>9.9?'NEW DOSE: 10 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 1)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1, Tu 0, W 0, Th 0, F 1, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
score interpretation
score=(((INR2Halfto3HalfHigh5)*(WeeklyDose))+(Bleeding)+(Override));score>99999?'Life-threatening bleeding, at any INR: Hold warfarin; give prothrombin complex concentrate (or recombinant factor VIIa as an alternative) supplemented with vitamin K1 (10 mg slow IV); repeat as needed':score>9999?'Serious bleeding, at any INR: Hold warfarin; give vitamin K1 10 mg slow IV plus fresh plasma or prothrombin complex concentrate, depending on urgency; repeat vitamin K1 every 12 hours as needed':score>999?'Very high INR indicates more frequent monitoring':score>72.4?'That dosage is out of range':score>69.9?'NEW DOSE: 70 mg weekly (M 4, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>67.4?'NEW DOSE: 67.5 mg weekly (M 3, Tu 4, W 4, Th 4, F 4, Sa 4, Su 4)':score>64.9?'NEW DOSE: 65 mg weekly (M 3, Tu 4, W 4, Th 4, F 3, Sa 4, Su 4)':score>62.4?'NEW DOSE: 62.5 mg weekly (M 3, Tu 4, W 3, Th 4, F 3, Sa 4, Su 4)':score>59.9?'NEW DOSE: 60 mg weekly (M 4, Tu 3, W 4, Th 3, F 4, Sa 3, Su 3)':score>57.4?'NEW DOSE: 57.5 mg weekly (M 4, Tu 3, W 3, Th 3, F 4, Sa 3, Su 3)':score>54.9?'NEW DOSE: 55 mg weekly (M 4, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>52.4?'NEW DOSE: 52.5 mg weekly (M 3, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>49.9?'NEW DOSE: 50 mg weekly (M 2, Tu 3, W 3, Th 3, F 3, Sa 3, Su 3)':score>47.4?'NEW DOSE: 47.5 mg weekly (M 2, Tu 3, W 3, Th 3, F 2, Sa 3, Su 3)':score>44.9?'NEW DOSE: 45 mg weekly (M 2, Tu 3, W 2, Th 3, F 2, Sa 3, Su 3)':score>42.4?'NEW DOSE: 42.5 mg weekly (M 3, Tu 2, W 3, Th 2, F 3, Sa 2, Su 2)':score>39.9?'NEW DOSE: 40 mg weekly (M 3, Tu 2, W 2, Th 2, F 3, Sa 2, Su 2)':score>37.4?'NEW DOSE: 37.5 mg weekly (M 3, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>34.9?'NEW DOSE: 35 mg weekly (M 2, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>32.4?'NEW DOSE: 32.5 mg weekly (M 1, Tu 2, W 2, Th 2, F 2, Sa 2, Su 2)':score>29.9?'NEW DOSE: 30 mg weekly (M 1, Tu 2, W 2, Th 2, F 1, Sa 2, Su 2)':score>27.4?'NEW DOSE: 27.5 mg weekly (M 1, Tu 2, W 1, Th 2, F 1, Sa 2, Su 2)':score>24.9?'NEW DOSE: 25 mg weekly (M 2, Tu 1, W 2, Th 1, F 2, Sa 1, Su 1)':score>22.4?'NEW DOSE: 22.5 mg weekly (M 2, Tu 1, W 1, Th 1, F 2, Sa 1, Su 1)':score>19.9?'NEW DOSE: 20 mg weekly (M 2, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>17.4?'NEW DOSE: 17.5 mg weekly (M 1, Tu 1, W 1, Th 1, F 1, Sa 1, Su 1)':score>14.9?'NEW DOSE: 15 mg weekly (M 1, Tu 0, W 1, Th 1, F 1, Sa 1, Su 1)':score>12.4?'NEW DOSE: 12.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 1, Su 1)':score>9.9?'NEW DOSE: 10 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 1)':score>7.4?'NEW DOSE: 7.5 mg weekly (M 1, Tu 0, W 1, Th 0, F 1, Sa 0, Su 0)':score>4.9?'NEW DOSE: 5 mg weekly (M 1, Tu 0, W 0, Th 0, F 1, Sa 0, Su 0)':score>2.4?'NEW DOSE: 2.5 mg weekly (M 1, Tu 0, W 0, Th 0, F 0, Sa 0, Su 0)':'That dosage is out of range!'
References (Hide/Show)
#1
Ansell (2001) Chest 119: 22S-38S.
#2
Ebell (2005) Am Fam Physician 71: 1979-82.
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