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  • Coumadin Warfarin

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    Warfarin (Coumadin) is an anticoagulant medication used to prevent thromboembolic events for conditions like congestive heart failure. It works by interfering with vitamin K dependent clotting factors. Nurses should monitor for signs of bleeding and check PT/INR regularly while the patient is on this medication due to the increased risk of hemorrhage. The nurse should educate the patient about proper administration of the medication and interactions with foods and other drugs that can increase bleeding risk.

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    Warfarin (Coumadin) is an anticoagulant medication used to prevent thromboembolic events for conditions like congestive heart failure. It works by interfering with vitamin K dependent clotting factors. Nurses should monitor for signs of bleeding and check PT/INR regularly while the patient is on this medication due to the increased risk of hemorrhage. The nurse should educate the patient about proper administration of the medication and interactions with foods and other drugs that can increase bleeding risk.

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    Coumadin Warfarin

    Uploaded by

    Sheri490
    Warfarin (Coumadin) is an anticoagulant medication used to prevent thromboembolic events for conditions like congestive heart failure. It works by interfering with vitamin K dependent clotting factors. Nurses should monitor for signs of bleeding and check PT/INR regularly while the patient is on this medication due to the increased risk of hemorrhage. The nurse should educate the patient about proper administration of the medication and interactions with foods and other drugs that can increase bleeding risk.

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    NURS 1556 Clinical Medications Worksheets

    (You will need to make additional copies of these forms)

    Generic Name Trade Name Classification Dose Route Time/frequency


    Warfarin Coumadin Anticoagulants 2.5 mg PO QD
    Peak Onset Duration For IV meds, compatibility with IV drips and /or
    5-7 days 36-72 hours 2-5 days solutions

    Mechanism of action and indications (Why med ordered) Nursing Implications (what to focus on)
    Interferes with hepatic synthesis of vitamin K dependent Contraindications/warnings/interactions - Uncontrolled
    clotting factors (II, VII, IX, and X). Prevention of bleeding. Open wounds. Active ulcer disease. Recent
    thromboembolic events. For CHF. brain, eye, or spinal cord injury or surgery. Severe liver
    or kidney disease. Uncontrolled hypertension.
    Common side effects - Cramps, nausea, dermal necrosis,
    bleeding, fever

    Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine - PT and other
    medicines (ask patient specifically) – NSAIDs, clotting factors should be monitored frequently during
    acetaminophen may increase risk of bleeding, many therapy. Hepatic function and CBC should be monitored
    other drugs. Foods with Vitamin K, St. John’s wort, before and periodically throughout therapy. Stool and
    chamomile, clove, dong quai, fenugreek, feverfew, garlic, urine should be monitored for occult blood before and
    ginger, ginkgo, licorice and others. periodically during therapy.
    Be sure to teach the patient the following about this
    medication – Don’t double doses. Dr. should be informed
    of missed doses at time of checkup or lab tests. Review
    foods high in vitamin K. Encourage a consistent intake of
    Vitamin K because it is the antidote for warfarin
    alternating intake could cause PT levels to fluctuate.
    Avoid IM injections and activities leading to injury. Use a
    soft tooth brush, do not floss, and shave with an electric
    razor. Report any signs of unusual bleeding.
    Nursing Process- Assessment (Pre- Assessment Evaluation Check after
    administration assessment) - Assess for signs Why would you hold or not give this giving - Prolonged PT or
    of bleeding and hemorrhage (bleeding gums, med? - Evidence of bleeding or INR of 2-4.5 without signs
    nosebleed; unusual bruising; tarry black hemorrhage. of hemorrhage.
    stools; hematuria; fall in hematocrit or blood
    pressure.

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