Triple inhaled therapy with an inhaled corticosteroid, a lon…

Triple inhaled therapy with an inhaled corticosteroid, a long-acting β2-agonist (LABA), and a long-acting muscarinic antagonist (LAMA) improves health status, lung function, and symptoms while reducing chronic obstructive pulmonary disease (COPD) exacerbations. Which of the following would be appropriate triple therapy for COPD:

The client with atrial fibrillation has a Prothrombin time o…

The client with atrial fibrillation has a Prothrombin time of 27 and INR of 2.8 without any active bleeding.  The client does not have any mechanical heart valves nor history of stroke. Current dose for the last 3 weeks is warfarin 2.5 mg PO at bedtime.  What is the appropriate intervention by the  prescriber?