Coumadin
EmpoweRN.com
Hi Guys!
I really hope this video helps you out a ton! This medication is one of the major ones you will see in adult Med Surg & Critical care. Although it saves lives, we have to be very careful when taking care of patients with clotting tendencies.
Furthermore, we must also educate our patients about diet restrictions, safety precautions and the importance of their follow up appointments.
I hope this video simplifies at least a little bit of it ;)
Also, remember... you can access the audio of the video to download on your device, so that not matter where you are, you can always be learning.
If you prefer to watch the video without any music, you can go to my website... you will also find the audio there:
wp.me/s4CVjD-coumadin
I hope this & all of the videos help you tremendously.
Much love,
- Caroline
Warfarin aka Coumadin is the most used oral anticoagulant in the world and has been used for more than 50 years for therapy in prevention of thrombus formation and subsequent thromboembolic events. Anticoagulants are blood thinners which prevent formation of blood clots as well as prevent existent blood clots from increasing in size. Blood clots can hinder blood circulation and lead to serious medical conditions, like stroke, heart attack and pulmonary embolism. Thus warfarin is helpful in treating and preventing vein and artery blockage, stroke and heart attack.
Mechanism of Action
Warfarin slows down the formation of blood clots within 24 hours, but the complete effect takes place between 72 to 96 hours after taking the medication. Blood clot formation is a
complicated process which requires certain compounds known as coagulating factors to be present. These coagulating factors are produced by the liver. In the presence of sufficient vitamin K. Warfarin acts by inhibiting the presence of vitamin K and this inhibits the formation of coagulating factors. Substances that require vitamin K for their formation are: the anticoagulant proteins C and S and factors II, VII, IX, and X. Therefore, medications like warfarin block coagulating factors and disturb the process of clot formation. Thus slowing down blood clot formation. In the case of blood clots that are already formed, warfarin stops the clot from getting bigger. It also prevents breakage of the clot which can be otherwise dangerous if it travels in the bloodstream and blocks blood vessels. Warfarin cannot destroy or dissolve a blood clot that is already there. But the blood clot itself may slowly dissolve with time. Nor can Warfarin reverse ischemic tissue damage either, but, may help avoid secondary thromboembolic complications that can be dangerous and even fatal.
Indication
Warfarin (Coumadin) is indicated for/to:
• Prophylaxis, pulmonary embolism (PE), venous thrombosis and its extension, and to prevent blood clots from moving to other parts of the body.
• Reduce the risk of another stroke or heart attack in clients who already have had stroke or heart attack, and to reduce the risk of death.
• Prevent and treat blood clots associated with atrial fibrillation (irregular rapid heartbeat), heart-valve replacement and blood clots in lungs and legs.
Пікірлер: 50
Caroline, thank you so much, you are so clear in your explanation.
Very well explained. Just got diagnosed with Pulmonary Embolism due to Antiphospholipid syndrome. Thank you so much for this video
You helped me through 2 years of school! You are my favorite! Wish me luck ou my NCLEX tomorrow)
Thank you so much! This helped a lot.
Very good video. Easy to follow and understand!. Thanks
We use this all the time on my stroke unit for our AF patients. The newer anti-coagulants are emerging too but the main concern is they are not as easily reversed. I would like a video on apixaban or rivaroxiban!
Caroline, you are awesome! :D
Very helpful.Thank you!
Hi caroline, i really wish i found somewhere better to drop this comment to sum up how excited i am with the amount of information i have been able to gather watching your videos, as i am a Bsc. (Bsn, as referred to in America) Nurse trained in Nigeria, Africa who intends relocating to America and thus needs to write the Nclex. Furtherly to emphasize how the nursing commnuity is blessed with individuals like you, i must say miss, you are the modern day definition of Florence Nightingale, i mean you are beautiful, smart, elloquent, stylish and most importantly a nurse. keep the good work Caro!. God bless you.
@empowern
8 жыл бұрын
+Nonso Humphrey Awe!! that's so sweet of you. Thank you so much. I wish you all the best on your plans. I know you'll get there. Have faith and keep pushing forward. Looking forward on seeing you here again. -xoxo
@nonsohumphrey553
8 жыл бұрын
Thank you so much Caro, as a matter of fact my watch word this period is #FCHW. Faith, consistency and hard work. 👍
Thank you so much - would Eliquis be the same ?
Nice Video!! I have a question, what is the effect of coumadin (Warfarin) on the transcription of genes? like, how does it affect the synthesis of the enzymes required in this process?
Would frequent airplane flights or high levels of stress be contraindications?
Can I do cupping therapy while on Coumadin? Please help . Thank you
Oh thank you for this video!!! You are very beautiful.
@empowern
8 жыл бұрын
+Maynell Shaw Awe thanks love :) xoxo! - Caroline
Does it have a fibrinolytic action? Can it dissolve clot?
I want to be you when I grow up!!! You are the best. Do you do pediatric or psychiatric nursing videos?
Is there a thing that warfarin should be administered at night? If yes, what's the reason behind??
Thank you for speaking slowly. I tried to listen to you before but found it very hard to catch with speed but this video I found it very helpful. Thank you
that's awesome video.... can I request more video for Epidemiology major?
@empowern
8 жыл бұрын
+brin da thanks so much for letting me know! Sure, what topic were you looking for? I will let you know if I know enough to make a video ☺️
I'm not a nurse I just watch you because you're pretty
@empowern
8 жыл бұрын
+Jane Kilcourse lol your too funny :) thank you :)
What kind of anticoagulants can be purchased over the counter?
@empowern
7 жыл бұрын
I don't think any... not in the USA anyways... You really need to get the right recommendation from your physician. I hope this helps! - Caroline
q. so how can we ever know if a blood clot has dissolved..???...gone away..???
@earthalien77
8 жыл бұрын
+earthalien77 and.... this all seems totally confusing ....why would some people be 'okay after a few weeks', and then others have to 'take it for the REST OF THEIR LIVES'>>?? ...how can they determine that...?? ..and supposedly, there is no way to ever tell if the clot is gone..??? ..seems kind of archaeic for modern medicine----
Request topic Can be any relate with epidemiology😊 thanks
@empowern
8 жыл бұрын
+brin da Will do my best ;)
@empowern
8 жыл бұрын
+brin da Will do my best ;)
@kimberlynn7651
8 жыл бұрын
thank you so much you are the best I will request more in the future!again Thank You!
Can coumadin be purchased over the counter or does it need a prescription?
@empowern
7 жыл бұрын
You definitely need to have a prescription as well as close follow-up care. This is a medication you need to work closely with your physician with. I hope this helps! xoxo - Caroline
@longshotlou1
7 жыл бұрын
The wise. Im on cumodin. Your blood cant b to thin or to thick. They will draw blood from you frequently to figure out your dosage. No alcohol. Certain Vegetables,. Something u dont want to "play" doctor about.
Heparin and Lovenox
I just took a test
@empowern
8 жыл бұрын
+Natsi Goitom great job!! Test & quizs really help you understand & apply the information!! Keep up the good work ✌️🤗 xoxo - Caroline
@user-jo2bb9ws1p
8 жыл бұрын
Thanks
lovenox
@empowern
8 жыл бұрын
+iepurasul19 Thanks for the request!! Adding it now :)
This was a reallllly good video, but you are very distracting ... I had to rewind the video a couple times... I couldn't concentrate, because I was staring at your dress and your shinny legs, you're pretty but I rather understand it the first time than being distracted. But VERY good video overall! & I love your questions you provide us with!!
@vixyparis3163
6 жыл бұрын
Candy Garcia i completely agree. Very distracting
first
@empowern
8 жыл бұрын
+martha r ☺️
You dressed nice but it's distracting....I don't think it's useful for viewers to see you around on the video...your hand gestures don't correlate with the word you're talking about.Very helpful information though.Thanks.
Would frequent airplane flights or high levels of stress be contraindications?