One of the orders is for enoxaparin (Lovenox), a low-molecular-weight heparin (LMWH). The nurse is reviewing new medication orders for a patient who has an epidural catheter for pain relief. Vitamin K is the antidote for warfarin (Coumadin) overdose. Protamine sulfate is a specific heparin antidote and forms a complex with heparin, completely reversing its anticoagulant properties. Which substance is the antidote for heparin overdose? A patient has received an overdose of intravenous heparin, and is showing signs of excessive bleeding. the patient's warfarin dose is at therapeutic levels.Ī normal INR (without warfarin) is 1.0, whereas a therapeutic INR (with warfarin) ranges from 2 to 3.5, depending on the indication for use of the drug (e.g., atrial fibrillation, thromboprevention, prosthetic heart valve). the patient's intravenous heparin dose is at therapeutic levels. the patient's intravenous heparin dose is dangerously high.ĭ. the patient's warfarin dose is at therapeutic levels.Ĭ. the patient is not receiving enough warfarin to have a therapeutic effect.ī. While monitoring the patient's laboratory work, the nurse interprets that the patient's international normalized ratio (INR) level of 2.5 indicates thatĪ. A patient has had recent prosthetic heart valve surgery and is receiving anticoagulant therapy. Taking an opioid for a headache may not be appropriate. The nurse expects to receive instructions for which type of medication?Īcetaminophen should be safe in regular doses high doses, however, as well as other nonsteroidal antiinflammatory drugs and aspirin, may cause an increased anticoagulant effect. A patient who is taking warfarin (Coumadin) therapy has a headache and calls the prescriber's office to ask about taking a pain reliever.
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