Warfarin [Internet]. Warfarin (Coumadin®) TEACHING Handout Warfarin prevents new blood clots from forming.

Assess for signs of bleeding and hemorrhage (bleeding gums; nosebleed; unusual bruising; tarry, black stools; hematuria; fall in hematocrit or BP; guaiac-positive stools, urine, or nasogastric aspirate).Monitor stool and urine for occult blood before and periodically during therapy.Because of the large number of medications capable of significantly altering warfarin's effects, careful monitoring is recommended when new agents are started or other agents are discontinued. 1 High Alert heparin (hep-a-rin) Hepalean,Hep-Lock,Hep-LockU/P Classification Therapeutic:anticoagulants Pharmacologic:antithrombotics PregnancyCategoryC Indications Amounts … Withholding 1 or more doses of warfarin is usually sufficient if INR is excessively elevated or if minor bleeding occurs.

Davis Company PDF Page #2 2 NURSINGIMPLICATIONS Assessment Assess patient for symptoms ofstroke,peripheral vascular disease,or MIperiodi-callyduringtherapy.

DB - Nursing Central © 2000–2020 Unbound Medicine, Inc. All rights reservedTY - ELEC Genetic Implication. Davis Drug Guide PDF. therapy with warfarin to a target INR of 3.0 (range, 2.5-3.5) is recommended. An INR of 2.5–3.5 is recommended for patients at very high risk of embolization (for example, patients with mitral valve replacement and ventricular hypertrophy). Genetic Implication.

Normal INR (not on anticoagulants) is 0.8–1.2. • Read food labels to check for foods fortified with Vitamin K. • Understand drinking more than 2 alcoholic drinks a day may increase your INR. Monitor patient for signs of thrombotic thrombocytic purpura (throm-bocytopenia, microangiopathic hemolytic anemia, neurologic findings, renal dysfunction, fever). 2015 F.A. )Î;YJE$cDÁˆø]Ía{ Uƒ¶•„V”¤]�ºBm›•ğÚ€’~‰as5¶bMp]f°Z|¬+í”Î|ÃñÙÄ” tiO`/ Heparin may affect the PT/INR; draw blood for PT/INR in patients receiving both heparin and warfarin at least 5 hr after the IV bolus dose, 4 hr after cessation of IV infusion, or 24 hr after subcut heparin injection. Therapeutic PT ranges 1.3–1.5 times greater than control; however, the INR, a standardized system that provides a common basis for communicating and interpreting PT results, is usually referenced. Warfarin (Coumadin ) And Your Diet -2- keep your vitamin K intake consistent from week to week. 1 High Alert enoxaparin (e-nox-a-pa-rin) Lovenox Classification Therapeutic:anticoagulants Pharmacologic:antithrombotics,heparins(lowmolecularweight) PregnancyCategoryB Indications Find information on Warfarin (Coumadin, Jantoven) in Davis’s Drug Guide including dosage, side effects, interactions, nursing implications, mechanism of action, half life, administration, and more. Strikethrough Discontinued. Administration of whole blood or plasma also may be required in severe bleeding because of the delayed onset of vitamin K.Prolonged PT (1.3–2.0 times the control; may vary with indication) or INR of 2–4.5 without signs of hemorrhage.Nursing Central is an award-winning, complete mobile solution for nurses and students. ER - ID - 51797 Type your tag names separated by a space and hit enterInterferes with hepatic synthesis of vitamin K-dependent clotting factors (II, VII, IX, and X).Ingestion of large quantities of foods high in vitamin K content (see list in Monitor PT, INR and other clotting factors frequently during therapy; monitor more frequently in patients with renal impairment. CAPITALS indicate life-threatening, underlines indicate most frequent.

Davis Company ET - 16 In Quiring C, Sanoski CA, Vallerand AH. Monitor any appreciable symptoms of DVT such as pain, swelling, warmth, and redness to determine if drug therapy is effective in preventing or reducing venous thrombosis. In: * Article titles in AMA citation format should be in sentence-caseYou can cancel anytime within the 30-day trial, or continue using Nursing Central CAPITALS indicate life-threatening, underlines indicate most frequent.

PB - F.A. Call your anticoagulation clinic, or the UC Davis Anticoagulation Clinic at 916-734-8158, or Go to the nearest Emergency Room BT - Davis's Drug Guide DP - Unbound Medicine T1 - warfarin AU - Vallerand,April Hazard, PDF Page #1 Canadian drug name. Lower levels are acceptable when risk is lower. Look up information on diseases, tests, and procedures; then consult the database with 5,000+ drugs or refer to 65,000+ dictionary terms. For patients with a bioprosthetic valve in the mitral position, therapy with warfarin to a target CAPITALS indicate life-threatening, underlines indicate most frequent. Strikethrough Discontinued. If overdose occurs or anticoagulation needs to be immediately reversed, the antidote is vitamin K (phytonadione, Aquamephyton). to begin a 1-year subscription ($39.95) PDF Page #1 Canadian drug name.

Notify physician or nursing staff immediately if warfarin causes excessive anticoagulation.