NAPLEX Quiz
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FOUNDATIONAL KNOWLEDGE FOR PHARMACY PRACTICE
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A 61-year-old female (weight 70 kg) with DVT on warfarin presents for routine INR monitoring. Medical history: DVT (6 months ago), hypothyroidism. Current medications: warfarin 6 mg PO daily, levothyroxine 100 mcg PO daily; she reports starting a "keto" diet with markedly increased leafy green vegetable intake over the last 2 weeks. Allergies: none. Labs: INR 1.7 (goal 2–3), Hgb 12.9 g/dL, platelets 230k, SCr 0.9 mg/dL. What is the next best step in managing this patient's anticoagulation therapy?
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