59MDWI44-139 governs the 59th Medical Wing’s anticoagulation management program and therapy at the WHASC Anticoagulation Clinic.
View 59MDWI44-139 on armypubs.army.mil
It covers referral, warfarin therapy, patient education, class preparation, clinical assessment, dosing, and INR testing intervals. The publication requires compliance with its anticoagulation management standards and defines related staff duties.
Applies to: This instruction applies to all cardiology and pharmacy personnel involved in anticoagulation therapy management.
A maximum of 8 new patients will be scheduled per anticoagulation class. (paragraph 1)
Instruct patients to bring all current medications to class. (paragraph 1)
All new patient consults must be received within 24 hours of the scheduled class date. (paragraph 1)
The standard starting dose for warfarin is 5 mg. However, starting doses such as 2.5 and 10 mg may be used in select patients. (Attachment 2). (paragraph 4)
For new patients, or patients who had warfarin interruption, an INR should be obtained within 3-5 days after starting warfarin to assess initial response. (paragraph 4)