Warfarin Management CPG â Ambulatory Appendix A: Warfarin Management Dosing Tool â Adult â Ambulatory . Version 5.0 Created 10/28/2015 . Warfarin Initiation Dosing Protocol (Week 1) with INR Goal 2-3 Frequency of INR Monitoring After Initiation of Warfarin . Frequency of INR Monitoring for Maintenance of Warfarin . Warfarin Maintenance Dosing Protocol with INR Goal 1.5 â 2.0 . INR â¤ 1.2 INR 1.3 -1.4 INR 1.5 - 2.0 INR 2.1 â 3.0 INR 3.1 - 4.0* INR 4.1-5.0* INR 5.1-9.0* INR > 9.0 Increase weekly dose 10% Increase weekly dose 5% No change Decrease weekly dose 5% Consider half dose x 1
A straight-14 engine or inline-14 engine is a fourteen-cylinder internal combustion engine with all fourteen cylinders mounted in a straight line along the crankcase.he only engine of this type known to have been built is a member of the Waertsilae-WÃ¤rtsilÃ¤ SULZER-Rta96 c. Family it is the'world s most powerful combustion engine and is mounted In Emma, maersk mÃ¦rsk'the world s largest. container ship
A four-stroke engine (also known as four-cycle) is an internal combustion engine in which the piston completes four separate strokes which comprise a single thermodynamic cycle. A stroke refers to the full travel of the piston along the cylinder, in either direction. The four separate strokes are termed: INTAKE: this stroke of the piston begins at top dead center. The piston descends from the top of the cylinder to the bottom of the cylinder, increasing the volume of the cylinder. A mixture of fuel and air is forced by atmospheric (or greater) pressure into the cylinder through the intake port.