![]() ![]() ![]() True The antidote for warfarin overdose is vitamin K, but.? it takes 24-48 hours to be effective. ![]() True or False: Warfarin has a long half life and a very long duration. Uses Used to prevent thromboembolic conditions such as thrombophlebitis, pulmonary embolism, and embolism formation caused by atrial fibrillation, which can lead to stroke (CVA). Patient's PT or INR values are within desired range, and patient is free from significant side effects. Evaluation Evaluate effectiveness of drug therapy. John's Wort, ginseng, and vitamin C may decrease effectiveness of warfarin along with garlic, ginger, kava kava, green tea, chamomile tea, ginkgo biloba, and acute alcohol intoxication. Warn patient to report frank or occult bleeding (petechiae, ecchymosis, purpura, tarry stools, bleeding gums, epistaxis, expectoration of blood)Īdvise patient to avoid large amounts of green leafy vegetables broccoli legumes soy bean oil (rich in Vitamin K) coffee, tea, cola (Caffeine) excessive alcohol and certain herbs and nutritional supplements (coenzyme Q10) or to be very consistent with their intakeĬoenzyme Q10, fish oils, items high in vitamin K, St. Teach patient to control external hemorrhage from accidents or injuries by applyingfirm, direct pressure for at least 5-10 mins with a clean dry, absorbent material. Inform patient that may herbal products interact and may increase bleeding (Dong quai, feverfew, garlic, ginger, green tea, ginko, bilberry etc.) Suggest that patient use acetaminophen instead of aspirin (aspirin should NOT be taken with warfarin) Tell the patient to check with health care provider before taking OTC drugs. Unit 1: Basic Concepts of Pharmacology questions and answers. Smoking increases drug metabolism, so warfarin dose may need to be increased. That is why, when you take warfarin, its important that you not suddenly eat a lot more or a lot less vitamin K-rich food than you usually do. So warfarin and vitamin K work against each other in your body. Warfarin works against vitamin K, making your blood clot more slowly. Bleeding from shaving cuts may be difficult to control.Īdvise patient to have lab tests such as PT or INR performed as ordered.Įncourage patient not to smoke. Vitamin K normally helps your blood clot so wounds dont bleed too much. Warn patient to shave with an electric razor. Teach patient to inform dentist when taking.Īdvise patient to use soft toothbrush to prevent gums from bleeding.
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