WARFARIN ๐Ÿšถโ€โ™‚๏ธ KNOWN AS COUMADIN. ( They do not dissolve clots)

Warfarin is among the Anticoagulants used for the retardation of blood clotting.

Therapeutic level is 2 to 3.

2.5 to 3.5 for heart valve replacement patients.

INR of less than 2 is dangerous because of blood clots. High INR greater than 3 will result in bleeding.

Follow your facility policy and procedures and the doctor orders. Also use your facility laboratory results and values.

Antidote for WARFARIN is vitamin K.It is used to treat Coumadin overdose.

Warfarin ๐Ÿ‘จโ€๐Ÿฆฏis also known as coumadin. Warfarin is very slow to act unlike Heparin๐Ÿƒโ€โ™‚๏ธ that is fast.

Generic name is Warfarin.

Brand name is Coumadin.

Purpose /Action:Anticoagulants for blood clots. It inhibits clotting by interfering with hepatic synthesis of vitamin K clotting factors. It is use to prevent further formation of blood clots especially in patients with known Valvular diseases, Arrhythmias, PE,DVT and stroke.

Onset is 24 to 72 hours.

Peak is usually 3 to 4days.

Duration is 2 to 5days.

Half – life is to 20 to 60hours

Taken by mouth. (Oral)and in the evening.

Common side effects .

Bleeding.

Dizziness.

Bruises.

Nursing Responsibilities.

Monitor patient blood levels specifically INR DAILY in hospital and usually WEEKLY.Then monthly once the patient is discharged home.

2.Instruct patient to report any symptoms of bleeding.

3.No surgical intervention while on Coumadin (Risk of bleeding)call and notify the doctor before any surgery.

4.Explain to patient how some drugs can interact with Coumadin. For example Aspirin, antidotes, Chemotherapy drugs, steroids and alcohol can increase activity of Coumadin. While Estrogen, barbiturates and dilantin can decrease the activity of Coumadin.

5.Instruct patient to avoid excessive alcohol consumption.

6.Instruct patient to wear medi alert braces.

NB: “ANTICOAGULANTS DO NOT DISSOLVE CLOTS .THEY ARE PROPHYLACTIC”.

Published by edochie99

A Registered Nurse with over twenty years of hospital experience, an author with Masters Degree in Nursing,also Bachelor Degree in Nursing,graduated in 1996 from USC,University of Southern California.MSN in 2009 University of Phoenix.

Leave a comment

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

This site uses Akismet to reduce spam. Learn how your comment data is processed.

%d bloggers like this: