Doctor insights on:
Inr Levels For Surgery
INR: Level must be used in conjunction with other cardiac/medical issues. Above 1.5 with increased bleed. ...Read more
IS a low fibrinogen level (153) one month after heart surgery concerning? It was 250 prior to the procedure. D-Dimer is negative. PT/PTT/INR-normal
Not concerning.: Hello. I hope you are well. Fibrinogen is a marker of inflammation. Anything that causes "stress: in the body, starts an inflammatory response. It was more elevated before surgery due to the acute inflammatory response of blockages in your heart. The numbers are now lower since the blockages have been relieved. Hope this helps. ...Read more
My usual INR is about 1.0 or 1.1, but surgeon wants it to be lowered a bit prior to surgery. What is the lowest safe INR ?
I had a surgery from heart outside of the country and am using warfarin and my INR has to be checked frequently .I have no insurance any recommend ?
Yes: You could go to community clinic in your area to get inr checked although if unsuccessful you may have to go to er to get checked to at least make sure your inr is within range 2.0-3.0. In any case, you should be following with a doctor somewhere after heart surgery preferably a cardio thoracic surgeon and a cardiologist. ...Read more
Having trouble controlling my husbands BP he had open heart surgery two months ago. Is this common heart rate ok and INR stable.?
Not commom: But not cause for alarm either. BP can always be controlled. Follow up with his cardiologist and/or primary care doctor until it's controlled. Buy a decent arm cuff ($35-$100) and check his BP after 10 minutes of complete rest each day and keep a diary to bring to the doctor. If overweight, just losing 10% of excess can bring down bp. Avoid salty foods. Google the dash diet. Good luck. ...Read more
Healthy 54 yo woman sched 4 ACDF C5-6. Blood low 6.8 MPV & high 42 PTT. Prothromb w/INR: INR 1.0 Ratio; Prothromb 10.7 secs. Will this delay surgery?
I had heart surgery (CABG+MVR) in Oct 2013.Taking warfarin.Current INR 2.1.How long should I monitor INR, take warfarin and avoid green leafy vegs?
I've had open heart surgery about 8 years ago, aneurism repair and metal aortic valve replacement. INR is 2.1(low),I wake up with blood in mouth, dark?
Contact your MD: Based on your health history and that fact that you have INR testing, you are likely taking warfarin or a different blood thinner in which case you should contact your doctor and let them know you are experiencing bleeding. It may also be a good idea to contact a dentist as it is not normal for your mouth to be bleeding and there may be an underlying teeth or gum problem causing this. ...Read more
Anything above 1.5: The INR is a measure of how "thin" the blood is, typically due to the use of prescription blood thinners such as Coumadin (warfarin). A normal INR is 1.0. Anything above that is abnormal. For people on coumadin, the typical goal INR is 2.5 to 4.0 depending on the particular condition it is being used for. ...Read more
INR: Inr is a measure of clotting involving factors which we block with the drug warfarin. When the inr is high the factors are being blocked and clotting is inhibited. Usually we aim for an inr of 2 to 3 times standard. Sometimes we aim higher. If not on warfarin then the liver may be damaged causing the factors to be low. ...Read more
Stress makes sugar ↑: If you have diabetes, you need to discuss the details with the physician leading your diabetes care. There are protocols for how to adjust medication before surgery when you can't eat or drink. In the or, anesthesiologists are well-versed in caring for patients with diabetes. Blood sugar ↑ because of the stress of surgery, and may remain that way for awhile depending on what is going on with you. ...Read more
This is in the : Range of 2-3 which is most common therapeutic target range. What are you being treated for? ...Read more
How dangerous is it for someone who just had surgery within the last 24 hours to have their oxygen level staying down in the 70's and low 80's?
INR: An INR of 1.6 is elevated somewhat and can be associated with increased bleeding. It is not however a level of anticoagulation which we consider adequate to treat problems associated with pathologic clotting. It could be dangerous for some people however if they for instance have low platelet counts or ineffective platelet aggregation along with the INR 1.6. ...Read more
With or: Without Coumadin (warfarin) ? Either way this is a dangerous level & needs treatment. ...Read more
Dangerous: Check immediately with your doctor (I'll bet you already have, haven't you?!) ...Read more
See below : Low hematocrit after surgery is sometimes expected ( above 30) given that you might have lost some blood during surgery. It should get better with time. If you start feeling very fatigued or short of breath or have worsening or new pains then you should get immediately checked out. ...Read more
Atelectasis: Sometimes, there can be parts of the lung not fully inflated called atelectasis. This could cause low oxygen levels and can be reversed by taking deep breaths. This type of lung exercise can be done using something called an incentive spirometer, and walking around. Hope this helps! ...Read more