« previous next »

Author Question: The provider gives K.N. a low dose of vitamin K orally, asks him to hold his warfarin dose that ... (Read 77 times)

colton

  • Hero Member
  • *****
  • Posts: 627
on: Jun 25, 2018
The provider gives K.N. a low dose of vitamin K orally, asks him to hold his warfarin dose that evening, and asks him to come back tomorrow for another prothrombin time (PT) and INR blood draw.
 
  Why is K.N. instructed to take the vitamin K?

Question 2

The health care provider does a brief focused history and physical examination, orders additional laboratory tests, and determines that there are no signs of bleeding other than the nosebleed, which has stopped.
 
  The provider discovers that K.N. recently started to take daily doses of an over-the-counter proton pump inhibitor (PPI), omeprazole (Prilosec OTC), for heartburn.
 
  What happened when K.N. began taking the PPI?
 
  What should K.N. have done to prevent this problem?


juicepod

  • Sr. Member
  • ****
  • Posts: 310
Reply #1 on: Jun 25, 2018
Answer to Question 1

The goal of vitamin K therapy is to reverse the excessive anticoagulation of his blood to bring his INR
down to the goal levels.

Answer to Question 2

A drug interaction occurred. The PPI prolonged the effects of the warfarin. As a result, K.N. had an
increased risk of bleeding

He should have called the anticoagulant clinic before starting the PPI to check whether there could
be a drug interaction.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Hypertension is a silent killer because it is deadly and has no significant early symptoms. The danger from hypertension is the extra load on the heart, which can lead to hypertensive heart disease and kidney damage. This occurs without any major symptoms until the high blood pressure becomes extreme. Regular blood pressure checks are an important method of catching hypertension before it can kill you.

Did you know?

Always store hazardous household chemicals in their original containers out of reach of children. These include bleach, paint, strippers and products containing turpentine, garden chemicals, oven cleaners, fondue fuels, nail polish, and nail polish remover.

Did you know?

Prostaglandins were first isolated from human semen in Sweden in the 1930s. They were so named because the researcher thought that they came from the prostate gland. In fact, prostaglandins exist and are synthesized in almost every cell of the body.

Did you know?

Adults are resistant to the bacterium that causes Botulism. These bacteria thrive in honey – therefore, honey should never be given to infants since their immune systems are not yet resistant.

Did you know?

Fungal nail infections account for up to 30% of all skin infections. They affect 5% of the general population—mostly people over the age of 70.

Functional Groups of Vitamin C Functional Groups of Vitamin C
Neck stretch. Rest the receiver’s head on the palm of your right hand, taking a firm hold on the ... Neck stretch. Rest the receiver’s head on the palm of your right hand, taking a firm hold on the ...
Structure of vitamin B12 Structure of vitamin B12
Store vitamin B–rich whole-wheat flour in an airtight container in your refrigerator or freezer Store vitamin B–rich whole-wheat flour in an airtight container in your refrigerator or freezer
Most Common Vitamin and Mineral Deficiencies among the Malnourished Most Common Vitamin and Mineral Deficiencies among the Malnourished
Christian Löffler - Versailles (Hold) Christian Löffler - Versailles (Hold)
Video: Exercise and cardiac output

For a complete list of videos, visit our video library