Based on Dosing Guidelines
from the University of
Michigan CVS
Initial Inpatient Dosing:
Day:
Current INR:
Dose:
Continued Dosing:
WeekDay Current
Dose:
Day:
Week:
New Dose:
Patient Name:
Current Dose:
New Avg Daily Dose:
Day 1:
Day 2:
Day 3:
Day 4:
Day 5:
Day 6:
Day 7:
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Not Associated with the
University of Michigan CVS.
Not intended to Substitute for or Replace Sound Medical Judgment by a Well Trained
Competent Clinician.
