Warfarin (Coumadin) nursing NCLEX pharmacology review of the side effects, nursing considerations, and patient education.
Warfarin (Coumadin) is a vitamin K antagonist, which is a type of anticoagulant. This medication stops the coagulation process by blocking the formation of clotting factors in the liver that require Vitamin K to form. Theses clotting factors include II, VII, IX, X
Nursing considerations for Warfarin include: monitor PT/INR level (therapeutic INR level 2-3), assessing for signs and symptoms of bleeding, being familiar with the antidote (Vitamin K), administering the medication at the same time every day, avoiding intramuscular IM injections etc.
Patient education about Warfarin include: using soft bristle toothbrush, electric razor, avoid contact sports, holding firm pressure at any injuries site, avoid consuming excessive amount of green leafy vegetables, and knowing what to do if a dose is missed.
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