Real Life: Multiple Drugs that Affect Blood

Real Life: Multiple Drugs that Affect Blood Clotting This is a real life scenario that I wanted to share. I had an elderly patient in the hospital . I believe she had extensive cardiac disease including atrial fibrillation. I don’t remember the other history but I do remember the medications. The client was on enoxaparin 30 mg subcutaneously daily and aspirin 325mg. The physician came in during my shift and added warfarin 5 mg PO daily. What is the difference between these 3 drugs? (Describe drug action) What are the ADVERSE effects of this drugs? I had a “Oh no!!!” moment standing at the medication cart looking at all these medications that affect blood clotting. I called the physician to clarify these orders. He told me to give them as ordered and explained why. Can you think of what his reasoning would have been? What would you teach this patient to avoid excessive bleeding while taking this drug?

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