Why does a patient who had a thrombotic incident receive both heparin and Coumadin for 4-5 days before heparin is discontinued?
A) Heparin is not effective as an anticoagulant without Coumadin.
B) Coumadin requires heparin for its full anticoagulant effect.
C) Coumadin and heparin have a synergistic effect
D) Coumadin 's full effect is not achieved for 4-5 days after initiation because of the half-life of the vitamin K coagulation factors.
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