The patient has been on warfarin for three weeks, a daily dose of 5 mg with INR in range (goal of 2-3). He recently went to a labor day party hosted by his wife's boss, where he indulged in some alcoholic adult beverages and was so intoxicated he was unsure if he took his dose, so he may have taken up multiple doses.
Do you anticipate his INR to increase or decrease?
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