An older adult recovering from a myocardial infarction (MI)has been taking subcutaneous heparin but is now to receive oral warfarin.The nurse prepares to teach the patient which topics? (Select all that apply. )
A)Administration of both medications for up to 5 days
B)Need to use a soft bristle toothbrush
C)Use of atropine as an antidote for excessive bleeding
D)Need to continue drawing partial thromboplastin times
E)Need to drink at least eight cups of fluids daily

Question

Quizplus · Accepted Answer

- A) It's common to administer both heparin and warfarin for a short overlap period (up to 5 days) until the warfarin reaches its therapeutic effect, as monitored by INR levels.- B) Warfarin increases bleeding risk, so using a soft bristle toothbrush can help prevent gum bleeding.- D) While transitioning from heparin to warfarin, monitoring of coagulation times is important. However, it's the prothrombin time (PT) and INR that are monitored for warfarin therapy, not partial thromboplastin times (PTT), which are used for heparin. This choice might be misleading, but understanding the intent, it's about the need for ongoing monitoring while on anticoagulation therapy.

An Older Adult Recovering from a Myocardial Infarction (MI)has Been