Today is already wednesday!!!
- Tuesday, February 10, 2009 -
Wednesday. Today. Two more days to Pharmaco Paper! :) Lolx... Not really looking forward but I hope I will be even more confident after tomorrow. Today! I must study later! Now I'm blogging. Just now i was waiting for Joc. Now I'm still waiting so took some time to blog on what I remember... If you want to learn about this anticoagulant drugs then continue to read. :)
Just read about the effects of Warfarin. It's major side effect is Bleeding. It should not be taken when pregnancy. An example of Warfarin is Coumadin. It has a narrow TI(theraputic index). It will have purple toe syndrome which is a net-like skin rash usually on the hands and feet. Alopecia is the loss of hair but its not common. Warfarin's MOA: It inhibits the enzyme Vit K epoxide reductase, which is needed for clotting factors. Therefore, prevents clotting.
Heparin is another kind of anticoagulants. Its MOA: Converts fibrinogen to fibrin. Increases the action of antithrombin3. Its major side effects is also bleeding and after taking it for 5 days, some will have low platelets count (thromobocytopenia). Its available as Heparin Sodium and Low Molecular weight heparins(LMWH).
It should not be taken when pregnancy too.
Patient Education:
Use soft tooth brush and electric razor to prevent bleeding.
Inform other health care workers that you're on Warfarin.
Do not double your dose if your miss the medication.
Do not stop the drug suddenly.
Avoid grapefruit juice.
Not to eat with other medications unless stated by the physician.
Avoid stenuous activities or exercise to prevent bleeding.
Do not change your diet suddenly(eg increase or decrease intake of vegetables, it can affect the clotting factors.)
Overall these drugs do not dissolve the existing clots but the prevent further clots from foming to prevent complications (eg atrial fibrillation).
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