Vital Signs Height: 5’10” Weight: 160 lbs BP: 118/76 RAS HR: 72, regular rate and rhythm...
Vital Signs
- Height: 5’10”
- Weight: 160 lbs
- BP: 118/76 RAS
- HR: 72, regular rate and rhythm
Current Medications
| Toprol XL (metoprolol) | 50 mg | once daily |
| Lisinopril (Zestril) | 5 mg | once daily |
| Lasix (furosemide) | 20 mg | bid |
| K-Dur | 20 mEq | once daily |
| Coumadin (warfarin) | 2.5 mg | once daily |
| Nitroglycerine | 0.4 mg | prn |
Lab Results
| TESTS | RESULT | REFERENCE INTERVAL |
|---|---|---|
| INR | 0.8 | 2 - 3 |
How would you educate the patient and his wife about the situation today? the patient is taking St. John’s Wort and Coumadin
Homework Answers
Despite taking warfarin ,INR (International normalized Ratio) is less than the reference because St John's wort causes induction of CYP enzymes .Thus the metabolism of the coumadin is increased hence its effectiveness is decreased.Thus he has to stop taking St John's wort.
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Vital Signs
Height: 5’10”
Weight: 160 lbs
BP: 118/76 RAS
HR: 72, regular rate and rhythm...
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