• Read the following case scenarios and answer the questions provided. Word count 200 words (+/- 10%)
• Use APA referencing to support your responses and provide a reference list
• This task will be available online and students are required to submit this assessment task online via assignment submission box by the
due date 12.05.17 As a PDF
• This assessment is 1 of 5 tasks for the unit.
• Students must achieve satisfactory (S) outcome in all 5 tasks to attain Competency (C) in this unit.
Mr Pap a 55 year old Greek gentleman has been admitted to the Elgar ward for treatment of a left leg Deep Venous (Vein) Thrombosis (DVT). He has been commenced on Warfarin therapy. Mr Pap is having
daily blood International Normalized Ratio (INR) levels. Mr Pap is also a vegetarian and has a diet largely consisting of grains, salads, and vegetables.
Questions (below each question is the marking criteria)
1. What action does Warfarin have on the body? How might this action help treat Mr Pap’s DVT?
2. What are 2 adverse reactions for Warfarin therapy?
3. What is the antidote for Warfarin overdose?
4. Name 2 medications that interact with warfarin and include what group the medication comes from?
5. Mr Pap asks if he can still take Aspirin when on Warfarin. Why is Aspirin often contraindicated in patients taking warfarin?
6. What is the scope of practice of the Enrolled Nurse in relation to the administration of Warfarin therapy?
7. You and the Registered Nurse (RN) are administering Mr Pap his 1700hour dose of Warfarin.
a) What blood test result needs to be checked before administering Mr Pap his Warfarin dose?
b) What is a normal therapeutic range for the INR for prophylaxis of a DVT?
c) Why is it not advisable to interchange the two Warfarin trade names of Coumadian and Marevan?
8. What education would you provide Mr Pap in relation to his Warfarin therapy prior to his discharge from the Elgar ward:
a) Drug timing
b) Drug interactions
d) When to seek medical advice
e) How would you evaluate Mr Pap’s understanding of the education given?