Question

Mr. Arnold is a 54-year-old male admitted with an acute myocardial infarction. His treatment plan includes aspirin 325 mg chew and swallow and an IV infusion of heparin and alteplase (Activase) to infuse over 2 hours.

Explain why warfarin (Coumadin) was not used to treat this patient.

Answer 1

warfarin (Coumadin) was not used to treat this patient as warfarin in combination with Asprin that is being given in this treatment has a very high risk of bleeding, (Hurlen - ‎2002). Further warfarin as a adverse effect in acute myocardial infarction: increases the left ventricular thrombus formation, (Kontny - ‎1993)