Supratherapeutic international normalized ratio: an indicator of chronic malnutrition due to severely debilitating gastrointestinal disease
This case highlights the fact that Supratherapeutic INRs direct the attention of the treating physicians’ team to the underlying severely debilitating gastrointestinal diseases. Prolonged fasting or starvation reduces vitamin K levels. Such patients are more sensitive to treatment with Vitamin K ant...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2011-04-01
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| Series: | Clinics and Practice |
| Subjects: | |
| Online Access: | https://www.clinicsandpractice.org/index.php/cp/article/view/22 |
| _version_ | 1811186374062112768 |
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| author | Sarwan Kumar Deepak Gupta Shiva S. Rau |
| author_facet | Sarwan Kumar Deepak Gupta Shiva S. Rau |
| author_sort | Sarwan Kumar |
| collection | DOAJ |
| description | This case highlights the fact that Supratherapeutic INRs direct the attention of the treating physicians’ team to the underlying severely debilitating gastrointestinal diseases. Prolonged fasting or starvation reduces vitamin K levels. Such patients are more sensitive to treatment with Vitamin K antagonist-based anticoagulants. Hence, the Supratherapeutic INR can be an objective indicator of chronic loss of appetite with poor nutritional status of the patient and therefore acts as a warning sign for diagnosis of severe debilitating primary gastrointestinal disease. |
| first_indexed | 2024-04-11T13:44:28Z |
| format | Article |
| id | doaj.art-c2746c4f60d0416686e077d476736313 |
| institution | Directory Open Access Journal |
| issn | 2039-7275 2039-7283 |
| language | English |
| last_indexed | 2024-04-11T13:44:28Z |
| publishDate | 2011-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Clinics and Practice |
| spelling | doaj.art-c2746c4f60d0416686e077d4767363132022-12-22T04:21:08ZengMDPI AGClinics and Practice2039-72752039-72832011-04-011210.4081/cp.2011.e2121Supratherapeutic international normalized ratio: an indicator of chronic malnutrition due to severely debilitating gastrointestinal diseaseSarwan Kumar0Deepak Gupta1Shiva S. Rau2Department of Internal Medicine, Wayne State University/Detroit Medical CenterDepartment of Anesthesiology, Wayne State University/Detroit Medical CenterDepartment of Internal Medicine, Wayne State University/Detroit Medical CenterThis case highlights the fact that Supratherapeutic INRs direct the attention of the treating physicians’ team to the underlying severely debilitating gastrointestinal diseases. Prolonged fasting or starvation reduces vitamin K levels. Such patients are more sensitive to treatment with Vitamin K antagonist-based anticoagulants. Hence, the Supratherapeutic INR can be an objective indicator of chronic loss of appetite with poor nutritional status of the patient and therefore acts as a warning sign for diagnosis of severe debilitating primary gastrointestinal disease.https://www.clinicsandpractice.org/index.php/cp/article/view/22Supratherapeutic INRs |
| spellingShingle | Sarwan Kumar Deepak Gupta Shiva S. Rau Supratherapeutic international normalized ratio: an indicator of chronic malnutrition due to severely debilitating gastrointestinal disease Clinics and Practice Supratherapeutic INRs |
| title | Supratherapeutic international normalized ratio: an indicator of chronic malnutrition due to severely debilitating gastrointestinal disease |
| title_full | Supratherapeutic international normalized ratio: an indicator of chronic malnutrition due to severely debilitating gastrointestinal disease |
| title_fullStr | Supratherapeutic international normalized ratio: an indicator of chronic malnutrition due to severely debilitating gastrointestinal disease |
| title_full_unstemmed | Supratherapeutic international normalized ratio: an indicator of chronic malnutrition due to severely debilitating gastrointestinal disease |
| title_short | Supratherapeutic international normalized ratio: an indicator of chronic malnutrition due to severely debilitating gastrointestinal disease |
| title_sort | supratherapeutic international normalized ratio an indicator of chronic malnutrition due to severely debilitating gastrointestinal disease |
| topic | Supratherapeutic INRs |
| url | https://www.clinicsandpractice.org/index.php/cp/article/view/22 |
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