The treatment recommendation for an INR above 6 includes referral to the emergency room, according to the University of California San Diego School of Medicine. Any time a patient experiences uncontrolled bleeding, he must seek emergency medical attention. International normalized ratio, called INR, is a measure of the rate at which blood clots, according to Drugs.com. INR is only used to measure the clotting ability of people who are taking anticoagulants, according to Mayo Clinic.
INR is a ratio that accounts for the different chemicals present in blood to standardize the results of a prothrombin time test, according to Mayo Clinic. Prothrombin time is the amount of time in seconds that it takes for blood clotting to occur. The rate of clotting slows as INR rises, according to Drugs.com.
INR results in the range of 2 to 3 are good for people taking blood thinners, according to the Mayo Clinic. Symptoms that may indicate high INR include cuts that bleed continuously, bruising easily, and bleeding from the gums or nose, according to Drugs.com.
When INR is too high, treatment recommendations include skipping an anti-coagulant dose or administering vitamin K, according to University of California San Diego School of Medicine. Treatment may include transfusion of clotting factors, platelets and plasma, according to Drugs.com. Factors that put patients at risk for high INR include liver problems, congenital clotting problems, low levels of proteins necessary for clotting and dosing problems with blood thinning medications, states Mayo Clinic.