which herbal remedy used by a patient taking warfarin should the nurse report to the physician?

by Mason Gorczany 7 min read

Chapter 34: Complementary and Alternative Therapies in …

34 hours ago Which herbal remedy used by a patient taking warfarin should the nurse report to the physician? a. Angelica (dong quai) b. Chamomile. c. Ginseng. d. Kava-kava. 12. What should the nurse remind a parent who is considering homeopathic remedies for treatment of her child’s asthma? a. Should be drunk with large amounts of fluid >> Go To The Portal


The following herbal supplements may keep your blood from clotting and should not be used when you are taking anticoagulant medications before surgery: Garlic. Ginger. Gingko biloba.Dec 5, 2019

What should a nurse know about warfarin?

Warfarin (Coumadin) is an anticoagulant that helps prevent and treat blood clots. The nurse should be aware of how the drug works, why it is ordered, nursing implications, signs and symptoms of toxicity, and how to teach the patient how to take the medication.

Which of the following is an adverse reaction to warfarin?

The answers are A, B, D, E, and F. An adverse reaction would be associated with bleeding. Patients who take Warfarin should be monitored for signs and symptoms that bleeding is occurring internally.

Are herbal medicines safe to take with warfarin?

Herb–warfarin interactions could put patients at risk. GPs need to be better informed and patients need to disclose more regularly about any herbal or other complementary medicine co-ingested with warfarin. Supplementary information

What is warfarin (Coumadin) on the NCLEX?

Warfarin (Coumadin) NCLEX questions for nursing students! Warfarin (Coumadin) is an anticoagulant that helps prevent and treat blood clots. The nurse should be aware of how the drug works, why it is ordered, nursing implications, signs and symptoms of toxicity, and how to teach the patient how to take the medication.

Which herb can the nurse suggest to be used for discomforts associated with menopause such as hot flashes?

Black cohosh Black cohosh (Actaea racemosa) is a flowering plant native to the eastern regions of North America ( 3 ). Long used in Native American herbal medicine to treat a variety of illnesses, it's currently most often taken to alleviate night sweats and hot flashes associated with menopause.

What conditions would a nurse expect to see treated with hyperbaric oxygen therapy?

Conditions TreatedDiabetic foot ulcers.Venous stasis ulcers.Arterial ulcers.Pressure ulcers.Burns.Other non-healing wounds.Certain medications.Infections.

What is hyperbaric oxygen therapy used for?

Hyperbaric oxygen therapy (HBOT) is well known for treating scuba and deep-sea divers affected by the rapid change in pressure around them. But did you know that HBOT is also used to treat a variety of other health problems, including carbon monoxide poisoning and diabetic foot ulcers?

What is hyperbaric oxygen therapy side effects?

Fluid buildup or bursting (rupture) of the middle ear. Sinus damage. Changes in vision, causing nearsightedness, or myopia. Oxygen poisoning, which can cause lung failure, fluid in the lungs, or seizures.

Which clients would benefit from hyperbaric oxygen therapy?

HBOT increases oxygen levels to heal damaged brain tissues, reduce inflammation, improve blood flow, and reduce anxiety and cognitive impairments. This can be especially helpful if you struggle with depression, generalized anxiety, or Post-Traumatic Stress Disorder (PTSD).

What does a hyperbaric nurse do?

Hyperbaric nurses are responsible for administering hyperbaric oxygen therapy to patients and supervising them throughout the treatment. These nurses must work under a supervising physician trained in hyperbarics who is available during the treatment in case of emergency.

What is a HBO nurse?

The Hyperbaric Oxygen (HBO) Technician/Wound Care Nurse (LVN) provides Hyperbaric Oxygen Therapy to all referred patients. Performs specific assigned wound care activities within the State defined “Scope of Practice”. Works collaboratively with all other disciplines at assigned unit.

How does warfarin affect blood clotting?

The goal of warfarin therapy is to decrease the clotting tendency of blood, not to prevent clotting completely. Therefore, the effect of warfarin must be monitored carefully with blood testing. On the basis of the results of the blood test, your daily dose of warfarin will be adjusted to keep your clotting time within a target range. The blood test used to measure the time it takes for blood to clot is referred to as a prothrombin time test, or protime (PT). The PT is reported as the International Normalized Ratio (INR).

Why is warfarin called an anticoagulant?

Because warfarin interferes with the formation of blood clots, it is called an anticoagulant (PDF). Many people refer to anticoagulants as *blood thinners; however, warfarin does not thin the blood but instead causes the blood to take longer to form a clot.

What to wear for warfarin?

Wear Medical Identification. Those who require long-term warfarin should wear a medical alert bracelet, necklace, or similar alert tag at all times. If an accident occurs and the person is too ill to communicate, a medical alert tag will help responders provide appropriate care.

How to reduce bleeding while taking warfarin?

Some simple changes to decrease the risk of bleeding while taking warfarin include the following: Use a soft-bristle toothbrush. Floss with waxed floss rather than unwaxed floss. Shave with an electric razor rather than a blade. Take care when using sharp objects, such as knives and scissors.

Does warfarin cause bruising?

The major complications associated with warfarin are clotting due to underdosing or bleeding due to excessive anticoagulation. The most serious bleeding is gastrointestinal or intracerebral. Excessive bleeding can occur in any area of the body, and patients taking warfarin should report any falls or accidents, as well as signs or symptoms of bleeding or unusual bruising, to their healthcare provider.

What are the signs of bleeding?

If you experience the following signs of bleeding, you should call 911 or your healthcare provider immediately: Severe headache, confusion, weakness or numbness. Coughing up large amounts of bright red blood. Vomiting blood.

Does warfarin need to be tested?

This is why those who take warfarin must have their blood tested so frequently. Unlike most medications that are administered as a fixed dose, warfarin dosing is adjusted according to the INR blood test results; therefore, the dose usually changes over time.

What is the Warfarin NCLEX?

Warfarin NCLEX Questions (Coumadin) Warfarin (Coumadin) NCLEX questions for nursing students! Warfarin (Coumadin) is an anticoagulant that helps prevent and treat blood clots. The nurse should be aware of how the drug works, why it is ordered, nursing implications, signs and symptoms of toxicity, and how to teach the patient how to take ...

How long does it take for warfarin to work?

Warfarin (Coumadin) does NOT start working immediately. It takes about 3-5 days of scheduled doses to start achieving a therapeutic INR level. It is very common that a patient will be on Heparin while taking Warfarin until INR levels are therapeutic. 4.

What is the therapeutic INR level?

The answer is B. A therapeutic INR level should be 2-3 (it may be up to 4.5 if the patient is at a HIGH risk for blood clot formation). A level of 6 is HIGH and places the patient at risk for bleeding. The nurse should hold the dose and notify the physician.

What vegetables should I avoid on a med?

Also, the patient should maintain a normal diet, but avoid consuming excessive amounts of green leafy vegetables (like spinach, kale, broccoli, lettuce etc.) because this can alter how the medication works. The patient should AVOID alcoholic beverages and use electric razors. 14.

Does warfarin dissolve blood clots?

The answers are A and D. Warfarin (Coumadin) does NOT dissolve blood clots. It prevents blood clots from forming, and if one is present, it will help prevent it from becoming bigger. If the blood clot becomes bigger it may break off and travel in blood circulation.

Does Warfarin block clotting factors?

The answer is D. Warfarin (Coumadin) stops the coagulation process by blocking the formation of clotting factors in the liver that require Vitamin K to form. This is why this drug is part of the Vitamin K antagonist family. 3.

Can you drink alcohol while taking Warfarin?

In addition, patients should NOT drink alcohol while taking Warfarin (Coumadin) because it majorly affects how the drug works. Option D is NOT a candidate because of the liver disease. Warfarin affects the liver’s clotting factors. Option B and D would benefit because both are at risk for a blood clots (especially option B).

Overview

Mechanism

Treatment

Purpose

Administration

Risks

Diagnosis

Significance

Contraindications

Preparation

Interactions

  • Patients who take warfarin should consult with their healthcare provider before taking any new medication, including over-the-counter (nonprescription) drugs, herbal medicines, vitamins or any other products. Many medications can alter the effectiveness of warfarin, resulting in an INR that is either too high or too low. Some of the most common ove...
See more on heart.org