A client being discharged following treatment for a deep venous thrombosis (DVT) will be taking warfarin (Coumadin) at home. What should the nurse instruct this client?

1. "Avoid drinking any alcohol while taking this med."
2. "If you miss a dose of the drug, wait until the next day to take the next dose."
3. "Include a lot of dark green, leafy vegetables in your diet."
4. "Use over-the-counter anti-inflammatory drugs for pain or a headache."


Answer: 1

1. Alcohol interacts with Coumadin, and can prolong bleeding times.
2. If a dose is missed, the pill should be taken as soon as possible.
3. Green, leafy vegetables are high in vitamin K, and will prolong bleeding times with Coumadin.
4. ASA and NSAIDs interact with Coumadin, and can prolong bleeding times.

Nursing

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