ATI Warfarin Medication Template PDF

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Summary

ATI Active Learning Medication Template for Warfarin...

Description

ACTIVE LEARNING TEMPLATE:

Medication

STUDENT NAME _____________________________________

"Coumadin, Jantoven" MEDICATION Warfarin __________________________________________________________________________

REVIEW MODULE CHAPTER ___________

CATEGORY CLASS antocoagulant ______________________________________________________________________

PURPOSE OF MEDICATION

Expected Pharmacological Action Interferes with hepatic synthesis of vitamin K-dependent clotting factors 2,7,9 & 10

Therapeutic Use Prevention of thromboebolic events

Complications dermal necrosis, cramps, nausea, calciphylaxis, bleeding, fever

Medication Administration Dosage - PO 2-5mg daily for 2-4 then adjust per INR

Contraindications/Precautions uncontrolled bleeding, open wounds, active ulcer, brain, eye or spinal cord injury or surgery, severe hepatic or renal disease, uncontrolled hypertension, fetal hemorrhage

Interactions abciximab, androgens, estrogens, capecitabine, cefotetan, chloramphenicol,disulfiram, fluconazole, fluoroquinolones, itraconazole, metronidazole, thrombolytics, NSAIDs, valporates, aspirin, alcohol, barbituates, carbamazepine, St Johns wort, anise, arnica, chamomile, clove, dong quai, fenugreek, feverfew, garlic, ginger, ginko, panax ginseng, licorice, foods high in vitamin K

Evaluation of Medication Effectiveness - Lab value monitoring - Increased INR of 2-4.5 - Increased PT 1.3-2.0 times control

ACTIVE LEARNING TEMPLATES

Nursing Interventions - Assess vitals before and during therapy - Monitor for signs of bleeding - Assess for signs of thrombosis - Monitor INR & PT ranges - Evaluate hepatic function before and during treatment - Withhold if INR or PT esceed ranges

Client Education - Take medications as prescribed - Educate on administration - Report signs and symptoms of bleeding ie. tar like stoll, bruising w/o injury, unusual swelling, nose bleeds, etc. - Educate on signs of thromboembolism and to go to hospital. - Avoid IM injections - Avoid food high in vitamin K - Avoid activities that could cause injury

THERAPEUTIC PROCEDURE

A7...