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warfarin HIGH ALERT

Vitamin K antagonist
What it's for

Mechanical valves, a-fib, VTE

Nursing considerations
  • Check today's INR BEFORE today's dose — every time
  • Every new med (especially antibiotics) moves the INR
  • Consistent vitamin K intake — steady greens, not none
  • Antidote: vitamin K; 4F-PCC for serious bleeding
Key side effects
BleedingBruisingSkin necrosis (rare)
📈 Watch

INR (usually 2–3), bleeding signs

Source: Generic names only, per NCSBN convention. Primary sources: Lehne's Pharmacology for Nursing Care, 11th ed.; Davis's Drug Guide for Nurses. Educational reference — verify every medication decision against your facility's formulary, pharmacy, and the prescriber. Doses shown are typical adult references, not recommendations.Reference only — verify against your facility's policy.

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