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pt on warfarin,inr-7,presents with ischemic infarct-
next step
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take him off warfarin, give vit k. also heparin
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its ischemic infarct not hemorrhagic...
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may be bolus infusion of heparin and increase the dose of warfarin ( take out any medicine that is making warfarin less effective if possible )
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and also add aggrenox to his meds
