Age:
(enter birthdate instead)
Sex:
Male
Female
Height:
Inches
Centimeters
Weight:
Pounds
Kilograms
Smoker:
Yes
No
Indication for
anticoagulation:
Pulmonary embolism
Deep Venous Thrombosis
Atrial Fibrilation
Mechanical Heart Valve
Vascular Disease
Stroke (other than Atrial Fibrilation)
Antiphospholipid Syndrome
Target INR:
(obtained before anticoagulation administered)
Date/Time [
?
]:
...
Baseline INR:
Date/Time [
?
]:
Dose:
Date/Time [
?
]:
INR:
Press the buttons below to fill 4 consecutive days after inputting initial date.
Add 4 days
Add 4 doses
Erase date/dose values
Add 4 days
Erase date values
...
Dose
1
2
2.5
3
4
5
6
7
7.5
8
9
10
Custom
...
...
Dose
1
2
2.5
3
4
5
6
7
7.5
8
9
10
Custom
...
...
Dose
1
2
2.5
3
4
5
6
7
7.5
8
9
10
Custom
...
...
Dose
1
2
2.5
3
4
5
6
7
7.5
8
9
10
Custom
...
...
Dose
1
2
2.5
3
4
5
6
7
7.5
8
9
10
Custom
...
...
Dose
1
2
2.5
3
4
5
6
7
7.5
8
9
10
Custom
...
...
Dose
1
2
2.5
3
4
5
6
7
7.5
8
9
10
Custom
...
...
Dose
1
2
2.5
3
4
5
6
7
7.5
8
9
10
Custom
...
Graph Format:
None
SVG
JPG
