Warfarin nursing considerations
Common Questions and Answers about Warfarin nursing considerations
jantoven
t think of any reason that clotting would be a danger. Incidently, the day my father was being discharged from the rehab nursing facility, staff drew him aside and said your wife just died. This just reinforces his desire to stay away from the Coumadin.
The first time, the doctor said she was in kidney failure. They took her off all of her blood thinner, Warfarin, and stated he would not give it to her for fear of her falling and causing internal bleeding. He also took her off of her lasix, because this contributed to kidney failure. He would only release her to a nursing home and would not write an order to resume the blood thinner or the lasix.
These white matter lesions are nonspecific in appearance and do not enhance on postcontrast imaging. Differential considerations include both mild chronic small vessel ischemic change and myelinating disease such as multiple sclerosis. However, these lesions cannot be further defined. No evidence of acute infarct, cortical infarct, intracranial hemorrhage or mass. No evidence of acute intracranial abnormality.
Given that yesterday he said to not take the warfarin he was changing me from the genertic warfarin and putting me on the brand name of the med coumadin. Said some folks do not tolerate warfarin well but do well on coumadin and i am to start the coumadin today. I would be lying if i didn't say i am a bit gunshy at this point. This med has made me absolutely miserable and today is my 43rd bday...
DOES ANYONE KNOW IF WARFARIN CAN LOWER YOUR BLOOD COUNT AND AND ALSO LOWER CALCIUM AND VITAMIN D LEVELS?
ve tried to read as much as I can about warfarin along the way. I even went to a day-long CEU workshop for medical professionals on warfarin management and got the certificate. But I'm still not an expert. To my way of thinking, the experts are the hematologists, pharmacists, and other health professionals who manage large numbers of people's warfarin on a daily basis.
3 days later (boxing day) I was rushed to hospital with chest pains and diagnosed with self imposed pulmonary embolism. I was put on to Warfarin and monitored in hospital for 2 weeks.
t know how warfarin is affecting your life style. I have been on warfarin for years and had no concerns about running and bike riding, and using power wood working tools. All of these activities puts one at an increased risk of a cut and bleeding, but I simply take the risk. On the other hand, I don't sky dive, or pick fights ....
The most common anticoagulation drug prescribed after heart valve surgery is warfarin (Coumadin). The newer blood thinners are apixaban and dabigatran, also known as Pradaxa and are expensive. The main concern is that specific antidotes for bleeding are available for warfarin but not yet developed for the new drugs.
Hope this helped and do keep us posted.
Since leaving the hospital 3 weeks ago (she is now in a nursing facility) her oxygen levels continue to drop to 78. Her machine was on 5 1/2 this week and once they got her back to 92 they put it back to 3. even with the oxygen on it continues to drop. She has also been diagnoised with 100% blocked cartoid on the right and 75% blockage on the left and a 6m anuerysm at the base of her brain. She is not on blood thinners because of the bleeding ulcer.
you have to think of the worse case senario of switching to warfarin having the warfarin be too strong and your wife getting a bleed of some kind. This could be in her GI track, brain etc. and can be very life-threatening and could cause huge hospital bills.
So, depending on how long she will have to take the plavix for, and what she is taking it for, it may actually be less expensive to use the plavix.
You have a lot going on in your body that could make you feel bad, beside taking warfarin, and the warfarin is probably the least likely culprit.
The amount of warfarin that any given individual has to take to stay within an INR range of 2.0 to 3.0 (which is probably what the doctors mean when they tell you they want you at 2.5) will vary, depending on how rapidly that person's body can metabolize and excrete the warfarin.
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