... she is currently taking Coumadin and Lasix (odd combination, I know). What type of precautions should you take with this patient, and why?
We doing your homework again? She needs frequent inrs and potassium levels. They have only a vague minor interaction. I'd want to know why she was on these meds. The normal bleeding precautions would of course be in effect and you wouldn't want her to get dehydrated from the lasix. This could change the dosage need for coumadin.
Why do you feel coumadin and lasix is an odd combination? It is pretty common in my world! I see it all the time. You would just have to note any signs and symptoms of increased bleeding that you would with any coumadin patient. If you give an injection you must hold pressure longer, bleeding precautions should be in place. They should use an electric razor rather than a blade. Note any signs of any large unusual bruising-if they clobber their knee they will bruise but large unexplained bruises are a concern-, nosebleeds, bloody or tar-like stools, gums bleeding when teeth are brushed, blood in urine etc are all signs the blood is not clotting and the patient needs an INR level
This question strikes me as odd. Just be extra vigilant if you're injecting the patient with a diagnostic dye. Be careful when she's laying down & getting up so she doesn't get bruised. It's great that she only has to take 2 different prescriptions instead of multiples like so many other people. Be caring & attentive just like you do with all your patients. :)
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