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16 Cards in this Set
- Front
- Back
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CLASSIFICATION
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Anticoagulant
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ACTION
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Interferes with clotting cascade
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USES (6)
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~Deep vein thrombosis (DVT)
~prevention/treatment of venous thrombosis ~pulmonary embolism ~atrial fibrillation complications ~cardiac valve replacement complications ~after MI |
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TRADE NAME
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Coumadin®
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ADVERSE EFFECTS (4)
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BLEEDING (major adverse effect), diarrhea, rash, fever
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CONTRAINDICATIONS -3
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allergy, blood disorders, surgery
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PRECAUTIONS
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alcoholism, geriatric, CHF, trauma, risk of infection or inflammation
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DRUG INTERACTION (7)
drugs that potentiate action |
Tylenol, antibiotics, H2 histamine antagonists, loop diuretics, NSAIDs, sufonamides, vitamin E
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DRUG INTERACTIONS (7)
drugs that decrease action |
Alcohol, barbiturates, estrogens/oral contraceptives, spironolactone, thiazide diuretics, thyroid drugs, vitamin K
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INTERACTIONS (6)
food and dietary supplements INCREASED EFFECTS & BLEEDING RISK |
cayenne, chondroitin, feverfew, garlic, ginger, Ginko Biloba
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INTERACTIONS (4)
food and dietary supplements DECREASED EFFECTS |
green tea, ginseng, goldenseal, vitamin K (foods & supplements)
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INTERACTIONS (13)
foods rich in VITAMIN K |
liver, cheese, egg yolk, leafy vegetables (broccoli, cabbage, spinach, kale), oils (peanut, corn, olive, soybean)
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CLIENT TEACHING (5)
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~Alert client to bleeding problems and how to respond
~Inform of frequent follow-up blood tests ~Instruct med must be taken on a daily basis ~use soft-bristled toothbrush, avoid contact sports, use electric razor, avoid IM inj ~caution with OTC meds, Vit K rich food, dietary supplements |
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NURSING CONSIDERATIONS (3)
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~Monitor client's PT and INR
~Review client's medication and dietary history ~Assess for bleeding and GI problems |
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ADMINISTRATION CONSIDERATIONS (4)
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~requires close monitoring
~frequent dose adjustments ~high potential for interaction ~Vitamin K is the antidote |
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ADMINISTRATION LEVELS (4)
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~1 to 15 mg daily
~effective PT 1.3-2.5 x control ~effective INR 2-3 ~w/ cardiac valve replacement, 3-4.5 |
