A client being discharged following treatment for a deep venous thrombosis (DVT), will be taking warfarin (Coumadin) at home. The nurse instructs the client to:
A)
"Avoid drinking any alcohol while taking this med."
B)
"Include a lot of dark green leafy vegetables in your diet."
C)
"If you miss a dose of the drug, wait until the next day to take the next dose."
D)
"Use over-the-counter anti-inflammatory drugs for pain or a headache."
A
Explanation:
A)
Alcohol, ASA, and NSAIDs interact with Coumadin and can prolong bleeding times. Green leafy vegetables are high in vitamin K and will also prolong bleeding times with Coumadin. If a dose is missed, the pill should be taken as soon as possible.
Application
Implementation
Physiological Integrity: Pharmacologic and Parenteral Therapies
B)
Alcohol, ASA, and NSAIDs interact with Coumadin and can prolong bleeding times. Green leafy vegetables are high in vitamin K and will also prolong bleeding times with Coumadin. If a dose is missed, the pill should be taken as soon as possible.
Application
Implementation
Physiological Integrity: Pharmacologic and Parenteral Therapies
C)
Alcohol, ASA, and NSAIDs interact with Coumadin and can prolong bleeding times. Green leafy vegetables are high in vitamin K and will also prolong bleeding times with Coumadin. If a dose is missed, the pill should be taken as soon as possible.
Application
Implementation
Physiological Integrity: Pharmacologic and Parenteral Therapies
D)
Alcohol, ASA, and NSAIDs interact with Coumadin and can prolong bleeding times. Green leafy vegetables are high in vitamin K and will also prolong bleeding times with Coumadin. If a dose is missed, the pill should be taken as soon as possible.
Application
Implementation
Physiological Integrity: Pharmacologic and Parenteral Therapies
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