SOLVED3137

K.R. is a 65-year-old male who presents to the anticoagulation clinic for follow-up. He has been stable on warfarin 4 mg daily for four months. He recently traveled to Costa Rica and has been taking doxycycline 100mg daily for prophylaxis of malaria. Two days ago, K.R. began vomiting due to a about of food poisoning that has since resolved. He reports he had been taking peppermint oil capsules to try and help with his nausea. His point-of-care INR today is 4.6 (goal INR range 2-3). He does not report any signs or symptoms of bleeding. What factors are most likely contributing to K.R.’s elevated INR? a. Vomiting and decreased food intake as a result of food poisoning b. Doxycycline c. Peppermint Oil Capsules d. A and B
SCIENCE
HEALTH SCIENCE
NURSING

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