RE: INR levels and therapy

[Guest guest]

The Acute Care Perspectives Journal (APTA) Vol 15, Number 1 Spring 2006 has

a great article / competency for Lab Values. It states a " therapeutic range

is 2-3 depending on clinical situation. " " INR > 3.5, patient may have

increased risk for bleeding, acitivity modification may be appropriate " .

" patients with significantly elevated levels (INR>5) may be on bed rest due

to risk of bleeding. Important to check with physician for activity

guidelines. "

Hope this help. I plan to use the journal as a competency for my

department. It is the best concise information of lab value and

implications for P.T. that I have seen.

Susie Pomerenke P.T.

Asst Director of Acute Therapies

St. 's Hospital, Springfield, MO

INR levels and therapy

Hi all,

Our facility has a protocol to 'hold' all therapy if the pt's INR is

above 4. This really seems to impact alot of our total joint

patients. Does anyone know of research that would indicate if and when

therapy should be held with increased INR levels.

Thank you for any input you may have.

Shari France,PT

Rehab Director

Carolton Rehab

Fairfield,Ct 06824

Please identify yourself, your discipline and your location in all messages

to PTManager.

Sick of working for someone else?

Tired of fighting against POPTS?

Ready to quit the corporate nonsense of large organizations? Visit

www.InHomeRehab.com.

PTManager encourages participation in your professional association. Join

APTA, AOTA or ASHA and participate now!

Please identify yourself, your discipline and your location in all messages

to PTManager.

[Guest guest]

Shari,

Here is some information on INR's.

http://www.aafp.org/afp/20030215/tips/22.html

Urmila Koyira

Client Advocate

The Rehab Documentation Company, LLC

(888)401 - 4400 Ext. 1205

www.rehabdocumentation.com