This weekend I made what will probably be one of my best pharmacy interventions in my career. I was working my weekend job at the hospital and the internal med NP contacts me to tell me a patient has an INR of 12 and needs vitamin K, but doesn’t know how to dose it so is asking me the dose. Having worked up all my 50 patients already- I didn’t recall seeing an INR that high so I double checked the patients INR and it was subtherapeutic at 1.1 and the PT was 12. (1/2)