warfarin (Coumadin)

warfarin (Coumadin) Card info

+Teach pt to decrease intake of dark leafy green vegetables +Vitamin K is the antidote +Wear med alter bracelet + Do not drink alcohol Shave with electric razor, do not brush teeth hard or floss hard +Medication takes 3-5 days to reach effective levels

warfarin (Coumadin) A: major and common side effects (3)

1. Hemat: BLEEDING 2. Derm: dermal necrosis 3. Misc: fever

warfarin (Coumadin) A: nursing interventions (10)

A: +Assess for signs of bleeding and hemorrhage +Monitor PT, INR INR: NORMAL (not on anticoagulants) = 0.8-1.2 INR: Recommended for HIGH RISK EMBOLIZATION = 2.5-3.5 +pts > 60yr affected easily +Monitor stool for blood +Admin same time each day +Review foods high in Vit-K, as it is antidote and can alter INR +Avoid IM injections and bleeding, bruising, or temp changes +Routine lab work for coagulation factors +Avoid alcohol, aspirin, NSAIDs +Carry Identification card of medication regimen

warfarin (Coumadin) A: Indication (3) B: mechanism of action (1) C: therapeutic effects (1)

A: +Prophylaxis and treatment of: venous embolism, pulmonary embolism, A. fib. w/ embolization +Management of MI to decrease risk of: death, subsequent MI, future thromboembolic events +After prosthetic valve placement B: Interferes with hepatic synthesis of vitamin K-dependent clotting factors (II, VII, IX, and X) C: Prevention of thromboembolic events

warfarin (Coumadin) Adult Dose Parameter: A: Dosage (1) B: IV Push (0)

A: PO: 2-5mg/day for 2-4 days, then adjust based on INR

warfarin (Coumadin) A: therapeutic class (1) B: pharmacologic class (1)

A: anticoagulants B: coumarins