| Name:____________________ |
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| DOB:____________________ |
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Date Reviewed: |
| Name of Anticoagulant: |
Target INR 2.0-3.0, 2.5-3.5
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Prothrombin Time
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Dosage Prescribed (mg)
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Date Drawn
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Results
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Control
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INR
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Su
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Mo
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We
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Sa
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Next Test Date
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View the pdf version of this document here.
Updated January 10, 2001
Use of this section indicates you agree to the Terms of Use.
Copyright 1994-2003 NP Central
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