Question

nunber one. short form

PN 200 Fundamentals of Nursing II Anticoagulants - Coumadin A patient is taking phenytoin, warfarin (Coumadin), promethazine (Phenergan). meperidine (Demerol), and diazepam (Valium) 1. Prepare a patient medication teaching plan for this patient being sure to include specifics about probable drug interactions 2. During the teaching session, the patient shares that he plans to start taking OTC products to boost his energy. What is the nurse's best response to the patient's comment being sure to explain the rationale for your answer? 3. List four adverse effects of each of the medications this patient is receiving Reviewed 11/18

Answer 1

1. Patients medication treatment plan which include probable drug interactions mainly for warfarin :-

Drug:

increase effect with amiodarone, aspirin, NSAIDs, sulfonamides, thyroid drugs, allopurinol, histamine2 blockers, oral hypoglycemic, metronidazole, miconazole, methyldopa, diuretics, oral antibiotics, vitamin E; decrease effect with barbiturates, laxatives, phenytoin, estrogen, vitamins C and K, oral contraceptives, rifampin

Lab:

May increase AST, ALT

Food:

Decrease diet rich in vitamin K

2. The nurses best response to the patient is to explain him the side effects or complications of taking medication oe supplements without physician prescription as it would cause fatal effects for which the patient will be responsible . Make him understand the different complications it would cause due to drug interactions ,food interactions , overdosage etc . It is totally playing with your own life. No supplements is natural and it won't provide you energy rather it would cause overweight ,heart problems respiratory problems etc

3. Side effects of phenytoin are :-

- nausea

- vomiting

- gingival hyperplasia

- suicidal thoughts

- SJS

- toxic epidermal necrolysis

- agranulocytosis

- cognitive impairments

- cardiac dysrythmia

Side effects of warfarin are :-

- anorexia

- vomiting

- nausea

- diarrhoea

- abdominal cramps

- rash

- alopecia

- bleeding

- stomatitis

Side effects of promethazine are :-

- drowsiness

- sedation

- blurred vision

- tachycardia

- dizziness

Side effects of meperidine are :-

- lightheadedness

- dizziness

- sedation

- nausea

- vomiting

- sweating