Presentation on theme: "Warfarin (Coumadin® / Jantoven®)"— Presentation transcript:
1 Warfarin (Coumadin® / Jantoven®) Presented byAnticoagulation Team (ACT)
2 OBJECTIVES To provide house wide education to staff and patients To promote consistency in teaching the patientsTo reduce complications when patients receive warfarin (Coumadin/Jantoven)
3 What is warfarin (Coumadin® / Jantoven®)? Warfarin is an anticoagulantAnticoagulants help reduce the number of clots forming in blood.Warfarin is referred to as a “blood thinner,” however; it does not affect the thickness of your blood.
4 What is the difference between warfarin and Coumadin®/ Jantoven®? Coumadin®/Jantoven® are the brand names for warfarinThey are all the same drug and will work the same wayTo avoid confusion, always get your warfarin refilled at the same pharmacy
5 Why do I need to take warfarin? There are many reasons people need totake warfarin. The most common reasons are:Previous heart attacksAtrial FibrillationPrevious clots in your legs or lungHeart valve replacement
6 How do I know it is working? The effect of warfarin is shown in blood testsThe blood tests measure the INR (international normalized ratio), which tells how long it takes for your blood to clotThe INR goal is usually between 2-3 or2.5 – 3.5, however, your healthcare provider will determine your exact goal
7 How often do I need to get bloodwork? When you start warfarin your INR will be monitored at least once a weekThe healthcare provider that manages your warfarin will determine when you need to come in for blood workFor your safety it is important not to miss these appointments
8 What affects my bloodwork (INR)? Illness, diet, beverages, supplements, medications (prescription and over-the-counter), and certain disease states may affect your INRNotify the healthcare provider managing your warfarin about any changes in your lifestyle, health, medications (including herbals and dietary supplements) at each visit.
9 How do I take warfarin?Take warfarin at the same time each day, preferably later in the eveningTake it exactly as prescribedIf you miss a dose, skip the missed dose. Do NOT double up!Inform the healthcare provider managing your warfarin when a dose was missed as this may affect your blood levels
10 What are the risks of taking warfarin? The most common side effect is bleeding. Examples may include:Pink or brown colored urineRed or tarry black stoolHeavier than usual menstrual flowExcessive bruising or bruises that get largerCuts that won't stop bleeding after applying 20 minutes of continuous pressure Vomiting blood or something that looks like coffee groundsProlonged nasal bleeding
11 Should I only eat certain foods while I am on warfarin? The main thing to remember is keep your diet consistent!!Warfarin is balanced against the vitamin K in your diet (typically found in green, leafy vegetables).Varying the amount of foods high in Vitamin K may cause fluctuations in your INR.Keep your intake of alcoholic beverages consistent (ie: avoid binge drinking).
12 What are some foods high in Vit K? Moderate High High Brussels sprouts 1/2Raw spinachRaw turnip greensRaw BroccoliEndive lettuceRomaine lettuceAbove serving size is 1cupKaleCollardsSwiss chardParsley, rawMustard greensAbove serving size is ½ cup
13 How do I keep my intake of Vitamin K consistent? Know the foods that are moderate or high in Vitamin K and be consistent with eating themReport any significant changes in your diet or your weight to the healthcare provider managing your warfarinCheck with the healthcare provider managing your warfarin before taking any vitamins or herbal supplements
14 What drugs interact with warfarin? Inform the healthcare provider managing your warfarin when starting or stopping any medications, vitamins, minerals, herbals, dietary supplements or dietary beveragesAvoid medications for headaches, pain relief, and fever as they can increase the risk of bleeding.Some examples may include: ibuprofen, naproxen, aspirinWhen pain/fever relief is needed, occasional use of Tylenol® (acetaminophen) is acceptable.
15 How do I identify that I am taking warfarin? Always carry an Emergency Medical Identification Card with a list of current medications and their dosagesID necklaces or bracelets that state you are taking warfarin are also available at local pharmaciesThe ID will alert healthcare professionals in the event you are unconscious