Coumadin
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NURS 1566 Clinical Form 3: Clinical Medications Worksheets Generic Name Trade Name Warfarin Coumadin
Classification Anticoagulants
Dose Route Time/frequency 2.5mg & 5mg alternate every PO Q Day other day Peak Onset Duration Normal dosage range 2.5-10mg per day for 2-4 days then adjust daily dose by 5-7 days 36-72 hours 2-5 days results of prothrombin time or INR. Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions Management of Myocardial infarction: decreases risk of death, decreases risk of subsequent MI. N/A Mechanism of action and indications Nursing Implications (what to focus on) Interferes with hepatic synthesis of vitamin K dependent Contraindications/warnings/interactions clotting factors (II, VII, IX, and X) Contraindicated in uncontrolled bleeding. Open wounds. Therapeutic Effects: Prevention of thromboembolic Active ulcer disease. Recent brain, eye, or spinal cord injury events. or surgery. Severe liver or kidney disease. Uncontrolled hypertension. Common side effects GI: Cramps, nausea. Derm: dermal necrosis. Hemat: BLEEDING. Misc: fever Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine medicines PT and other clotting factors should be monitored frequently Acetaminophen. during therapy. Hepatic function and CBC should be monitored before and periodically throughout therapy. Stool and urine should be monitored for occult blood before and periodically during therapy. Be sure to teach the patient the following about this medication Take medication as directed. If a dose is missed take as soon as remembered that day. Patient should not double doses. Health care professional 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-administration assessment) Assess for signs of bleeding and hemorrhage (bleeding gums, nosebleed; unusual bruising; tarry black stools; hematuria; fall in hematocrit or blood pressure.
Assessment Why would you hold or not give this med? Evidence of bleeding or hemorrhage.
Evaluation Check after giving Prolonged PT or INR of 2-4.5 without signs of hemorrhage.
Classification Anticoagulants
Dose Route Time/frequency 2.5mg & 5mg alternate every PO Q Day other day Peak Onset Duration Normal dosage range 2.5-10mg per day for 2-4 days then adjust daily dose by 5-7 days 36-72 hours 2-5 days results of prothrombin time or INR. Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions Management of Myocardial infarction: decreases risk of death, decreases risk of subsequent MI. N/A Mechanism of action and indications Nursing Implications (what to focus on) Interferes with hepatic synthesis of vitamin K dependent Contraindications/warnings/interactions clotting factors (II, VII, IX, and X) Contraindicated in uncontrolled bleeding. Open wounds. Therapeutic Effects: Prevention of thromboembolic Active ulcer disease. Recent brain, eye, or spinal cord injury events. or surgery. Severe liver or kidney disease. Uncontrolled hypertension. Common side effects GI: Cramps, nausea. Derm: dermal necrosis. Hemat: BLEEDING. Misc: fever Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine medicines PT and other clotting factors should be monitored frequently Acetaminophen. during therapy. Hepatic function and CBC should be monitored before and periodically throughout therapy. Stool and urine should be monitored for occult blood before and periodically during therapy. Be sure to teach the patient the following about this medication Take medication as directed. If a dose is missed take as soon as remembered that day. Patient should not double doses. Health care professional 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-administration assessment) Assess for signs of bleeding and hemorrhage (bleeding gums, nosebleed; unusual bruising; tarry black stools; hematuria; fall in hematocrit or blood pressure.
Assessment Why would you hold or not give this med? Evidence of bleeding or hemorrhage.
Evaluation Check after giving Prolonged PT or INR of 2-4.5 without signs of hemorrhage.
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