« 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 75 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?

Calcitonin is a naturally occurring hormone. In women who are at least 5 years beyond menopause, it slows bone loss and increases spinal bone density.

Did you know?

More than 150,000 Americans killed by cardiovascular disease are younger than the age of 65 years.

Did you know?

The people with the highest levels of LDL are Mexican American males and non-Hispanic black females.

Did you know?

There used to be a metric calendar, as well as metric clocks. The metric calendar, or "French Republican Calendar" divided the year into 12 months, but each month was divided into three 10-day weeks. Each day had 10 decimal hours. Each hour had 100 decimal minutes. Due to lack of popularity, the metric clocks and calendars were ended in 1795, three years after they had been first marketed.

Did you know?

Most strokes are caused when blood clots move to a blood vessel in the brain and block blood flow to that area. Thrombolytic therapy can be used to dissolve the clot quickly. If given within 3 hours of the first stroke symptoms, this therapy can help limit stroke damage and disability.

Daniel Burnham’s Flatiron Building (1902) was one of the first to use steel girders to hold up the b Daniel Burnham’s Flatiron Building (1902) was one of the first to use steel girders to hold up the b
First-pass metabolism (biotransformation). Absorption of an orally administered drug. First-pass metabolism (biotransformation). Absorption of an orally administered drug.
Mobilize the space between metatarsals with a scissoring action. Hold the toe “knuckles” of ... Mobilize the space between metatarsals with a scissoring action. Hold the toe “knuckles” of ...
The Hazardous Materials Identification System is used to label containers that hold hazardous ... The Hazardous Materials Identification System is used to label containers that hold hazardous ...
Three active forms of vitamin A: all-trans-retinol, -retinal, and –retinoic acid Three active forms of vitamin A: all-trans-retinol, -retinal, and –retinoic acid
Flowering plants such as papayas hold on to their spores and disperse by releasing seeds enclosed in Flowering plants such as papayas hold on to their spores and disperse by releasing seeds enclosed in
Video: Glycolysis - and oxygen

For a complete list of videos, visit our video library