Mea Kākau: Clyde Lopez
Lā O Ka Hana: 19 Iulai 2021
HōʻAno Hou I Ka Lā: 1 Iulai 2024
Anonim
Warfarin (Coumadin) Anticoagulant Nursing NCLEX Review Pharmacology
Wikiō: Warfarin (Coumadin) Anticoagulant Nursing NCLEX Review Pharmacology

Anter

Hoʻokumu paha ʻo Warfarin i ke kahe ʻana i ke kahe e hiki ke hoʻoweliweli i ke ola a hiki i ka make. E haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole he maʻi koko a maʻi koko paha kou. nā pilikia kahe o ke kahe, keu hoʻi i loko o kou ʻōpū a i ʻole kou esophagus (paipu mai ka ʻāʻī a hiki i ka ʻōpū), ʻōpū, urinary tract or bladder, or lungs; ke koko kiʻekiʻe; maʻi hohola; angina (ʻeha o ka umauma a i ʻole kaomi); maʻi puʻuwai; pericarditis (ʻōhū o ka pale (sac) a puni ka puʻuwai); endocarditis (maʻi o hoʻokahi a ʻoi paha nā puʻuwai puʻuwai); kahi hahau a kuhina paha; aneurysm (nāwaliwali a haehae paha o ke aʻa a i ʻole uaua); anemia (helu haʻahaʻa o nā hunaola ʻulaʻula i ke koko); maʻi ʻaʻai; maʻi hū paʻa mau; a i ʻole ka hakuʻala, a i ʻole ka maʻi ate. E haʻi pū i kāu kauka inā hāʻule pinepine ʻoe a i ʻole ʻeha ʻeha a ʻokiʻoki hou paha. ʻOi aku ka maikaʻi o ke kahe ʻana i ka wā warfarin lapaʻau no ka poʻe ma mua o 65 mau makahiki, a ʻoi aku paha ia i loko o ka malama mua o ka mālama warfarin. ʻOi aku ka hopena o ke kahe ʻana no ka poʻe i lawe i nā lāʻau kiʻekiʻe o warfarin, a i ʻole lawe i kēia lāʻau no ka manawa lōʻihi. ʻOi aku ka makaʻu no ke kahe ʻana i ka lawe ʻana i warfarin no nā poʻe e komo ana i kahi hana a haʻuki paha e hopena ai i kahi ʻeha koʻikoʻi. E haʻi aku i kāu kauka a me ka mea kauka lāʻau inā ʻoe e lawe a hoʻolālā paha e lawe i nā lāʻau i kuhikuhi ʻia a kuhikuhi ʻole ʻia hoʻi, nā huaora, nā mea hoʻopihapiha, a me nā huahana mea kanu a botanical paha (E nānā i nā MEA WAIKAHI) no ka mea hiki i kekahi o kēia mau huahana ke hoʻonui i ka makaʻu no ke kahe ke lawe nei ʻoe. Warfarin. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka: ʻeha, pehu, a ʻoluʻolu ʻole paha, kahe ʻana o ke kahe mai kahi ʻoki i kū ʻole i ka manawa maʻamau o ka manawa, nā ihu a i ʻole ke kahe ʻana o ka wai mai kāu mau huaʻupuʻu, ka ʻū ʻana a i ʻole ka luaʻi ʻana o ke koko a me nā mea. ke nānā aku e like me ka papa kope, kahe ʻana o ke kahe a i ʻole ka ʻeha ʻana, hoʻonui ʻia ke kahe o ka menstrual a i ʻole ke kahe ʻana o ka wahine, ʻulaʻula, ʻulaʻula, a i ʻole ka mimi ʻeleʻele ʻeleʻele, ʻulaʻula a lohi paha nā ʻōpū ʻeleʻele, ʻeha poʻo, ʻūpō, a nāwaliwali paha.


Hiki paha i kekahi poʻe ke pane ʻokoʻa i ka warfarin ma muli o kā lākou hoʻoilina a me ka make-up. E kauoha paha kāu kauka i kahi hoʻokolohua koko e kōkua i ka loaʻa ʻana o ka lāʻau o warfarin ʻoi aku ka maikaʻi iā ʻoe.

Pale aku ʻo Warfarin i ke koko mai ka hoʻopili ʻana i mea ʻoi aku ka lōʻihi ma mua o ka maʻamau no ʻoe e hoʻōki i ke kahe ʻana inā ʻoki ʻia a ʻeha paha ʻoe. Hōʻalo i nā hana a i ʻole nā ​​haʻuki e loaʻa i kahi kiʻekiʻe o ka ʻeha. Kāhea i kāu kauka inā he mea maʻamau ke kahe ʻana a inā ʻoe e hina a ʻeha, keu hoʻi inā ku ʻoe i kou poʻo.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kahi hoʻokolohua koko (PT [hōʻike prothrombin] i hōʻike ʻia ma ke ʻano he INR [international normalized ratio] waiwai) e nānā ai i ka pane o kou kino i ka warfarin.

Inā haʻi aku kāu kauka iā ʻoe e haʻalele i ka lawe ʻana i ka warfarin, mau paha nā hopena o kēia lāʻau no 2 a 5 mau lā ma hope o kou hoʻōki ʻana i ka lawe ʻana iā ia.

E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka palapala ʻike hoʻomanawanui o ka mea hana (Kauka Lapaʻau) ke hoʻomaka ʻoe i ka lāʻau me warfarin a i kēlā me kēia manawa e hoʻopiha hou i kāu kauka. E heluhelu pono i ka ʻike a nīnau i kāu kauka a kauka paha inā he nīnau kāu. Hiki iā ʻoe ke kipa aku i ka pūnaewele ʻo Food and Drug Administration (FDA) (http://www.fda.gov/downloads/Drugs/DrugSafety/ucm088578.pdf) a i ʻole pūnaewele o ka mea hana e kiʻi i ka Medication Guide.


E kamaʻilio me kāu kauka e pili ana i ka makaʻu (s) o ka lawe ʻana i warfarin.

Hoʻohana ʻia ʻo Warfarin i mea e pale aku ai i nā huʻa koko mai ka hana ʻana a ulu nui ʻana paha i kou koko a me nā kīʻaha koko. Kau ʻia ia no ka poʻe me kekahi ʻano o ka puʻuwai kūlike ʻole, ka poʻe me nā valves puʻuwai prosthetic (pani a me mechanical), a me ka poʻe i ʻeha ka puʻuwai. Hoʻohana ʻia ʻo Warfarin e mālama a pale aku paha i ka thrombosis venous (ka pehu ʻana a me ke kō ʻana o ke koko i kahi aa) a me ka embolism pulmonary (kahi kōkuʻu koko i ka akemāmā). Aia ʻo Warfarin i ka papa o nā lāʻau i kapa ʻia anticoagulants ('blood thinners'). Hana ia ma ka hōʻemi ʻana i ka hiki ke kō ʻana o ke koko.

Hele mai ʻo Warfarin ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia i hoʻokahi manawa i ka lā me ka ʻai ʻole. Lawe iā warfarin ma kahi o ka manawa like i kēlā me kēia lā. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. E lawe pololei iā warfarin e like me ke kuhikuhi. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka. Kāhea koke i kāu kauka inā lawe ʻoe i nā mea i kauoha ʻia o warfarin.


E hoʻomaka paha kāu kauka iā ʻoe ma kahi lāʻau haahaa o warfarin a hoʻonui iki a hōʻemi paha i kāu lāʻau ma muli o nā hopena o kāu hōʻoia koko. E ʻike pono i ka hoʻomaopopo ʻana i nā ʻōlelo aʻo hou mai kāu kauka.

E hoʻomau i ka lawe warfarin ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i warfarin me ke kamaʻilio ʻole ʻana me kāu kauka.

Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o ka lawe ʻana i warfarin,

  • e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka warfarin, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa warfarin. E noi i kāu kauka lāʻau a nānā i ke alakaʻi lāʻau no kahi papa inoa o nā mea hoʻohui.
  • mai lawe i ʻelua a ʻoi aku lāʻau i loaʻa ka warfarin i ka manawa like. E nānā pono me kāu kauka a kauka paha inā maopopo ʻole inā loaʻa kahi warfarin a i ʻole warfarin sodium.
  • e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻole ʻia, nā wikamina, a me nā mea hoʻopihaʻaiʻai āu e lawe nei a hoʻolālā paha e lawe, ʻo ia hoʻi ka acyclovir (Zovirax); allopurinol (Zyloprim); alprazolam (Xanax); antibiotics e like me ciprofloxacin (Cipro), clarithromycin (Biaxin, ma Prevpac), erythromycin (E.E.S., Eryc, Ery-Tab), nafcillin, norfloxacin (Noroxin), sulfinpyrazone, telithromycin (Ketek), a me tigecycline (Tygycline) nā anticoagulant e like me argatroban (Acova), dabigatran (Pradaxa), bivalirudin (Angiomax), desirudin (Iprivask), heparin, a me lepirudin (Refludan); nā antifungals e like me fluconazole (Diflucan), itraconazole (Onmel, Sporanox), ketoconazole (Nizoral), miconazole (Monistat), posaconazole (Noxafil), terbinafine (Lamisil), voriconazole (Vfend); nā lāʻau antiplatelet e like me cilostazol (Pletal), clopidogrel (Plavix), dipyridamole (Persantine, i Aggrenox), prasugrel (Effient), a me ticlopidine (Ticlid); aprepitant (Emend); aspirin a i ʻole aspirin-i loko o nā huahana a me nā nonsteroidal anti-inflammatory lāʻau e like me celecoxib (Celebrex), diclofenac (Flector, Voltaren, i Arthrotec), diflunisal, fenoprofen (Nalfon), ibuprofen (Advil, Motrin), indomethacin (Indocin), ketoprofen , ketorolac, mefenamic acid (Ponstel), naproxen (Aleve, Naprosyn), oxaprozin (Daypro), piroxicam (Feldene), a me sulindac (Clinoril); bicalutamide; bosentan; kekahi mau lāʻau antiarrhythmic e like me amiodarone (Cordarone, Nexterone, Pacerone), mexiletine, a me propafenone (Rythmol); kekahi mau kahawai kalipika e ālai ana i nā lāʻau e like me amlodipine (Norvasc, ma Azor, Caduet, Exforge, Lotrel, Twynsta), diltiazem (Cardizem, Cartia XT, Dilacor XR, Tiazac) a me verapamil (Calan, Isoptin, Verelan, ma Tarka); kekahi mau lāʻau no ka hānō e like me montelukast (Singulair), zafirlukast (Accolate), a me zileuton (Zyflo); kekahi mau lāʻau i hoʻohana ʻia e mālama i ka maʻi ʻaʻai e like me capecitabine (Xeloda), imatinib (Gleevec), a me nilotinib (Tasigna); kekahi mau lāʻau no ka cholesterol e like me atorvastatin (Lipitor, ma Caduet) a me fluvastatin (Lescol); kekahi mau lāʻau no ka maʻi digestive e like me cimetidine (Tagamet), famotidine (Pepcid), a me ranitidine (Zantac); kekahi mau lāʻau no ka maʻi HIV (HIV) e like me amprenavir, atazanavir (Reyataz), efavirenz (Sustiva), etravirine (Intelence), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir / ritonavir, nelfinavir (Viracept), ritonavir, nelfinavir (Viracept), ritonavir Norvir), saquinavir (Invirase), a me tipranavir (Aptivus); kekahi mau lāʻau no ka narcolepsy e like me armodafinil (Nuvigil) a me modafinil (Provigil); kekahi mau lāʻau no ka hopu ʻana e like me carbamazepine (Carbatrol, Equetro, Tegretol), phenobarbital, phenytoin (Dilantin, Phenytek), a me rufinamide (Banzel); kekahi mau lāʻau e mālama ai i ka maʻi kō e like me isoniazid (i Rifamate, Rifater) a me rifampin (Rifadin, i Rifamate, Rifater); kekahi mau mea koho selotonin reuptake inhibitors (SSRIs) a i ʻole serotonin a me nā norepinephrine reuptake inhibitors (SNRI) e like me citalopram (Celexa), desvenlafaxine (Pristiq), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac, Sxya). fluvoxamine (Luvox), milnacipran (Savella), paroxetine (Paxil, Pexeva), sertraline (Zoloft), venlafaxine (Effexor) corticosteroids e like me prednisone; cyclosporine (Neoral, Sandimmune); disulfiram (Antabuse); methoxsalen (ʻOxsoralen, Uvadex); metronidazole (Flagyl); nefazodone (Serzone), nā pale pale waha (nā lāʻau kaohi hānau); oxandrolone (Oxandrin); pioglitazone (Actos, i Actoplus Met, Duetact, Oseni); propranolol (Inderal) a i ʻole vilazodone (Viibryd). Nui paha nā lāʻau ʻē aʻe e launa pū paha me warfarin, no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, a ʻo nā mea ʻaʻole i ʻike ʻia ma kēia papa inoa. Mai lawe i nā lāʻau hou a hōʻoki paha i ka lawe ʻana i nā lāʻau me ka kamaʻilio ʻole ʻana me kāu kauka.
  • e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā huahana lāʻau a lāʻau paha āu e lawe nei, keu hoʻi ka coenzyme Q10 (Ubidecarenone), ʻO Echinacea, kālika, Ginkgo biloba, ginseng, goldenseal, a me St. John's wort. Nui a hewahewa nā huahana lāʻau ʻē aʻe a i ʻole e hoʻopili i ka pane o kou kino i warfarin. Mai hoʻomaka a oki paha i ka lawe ʻana i nā huahana mea kanu me ke kamaʻilio ʻole ʻana me kāu kauka.
  • e haʻi i kāu kauka inā loaʻa ʻoe a i ʻole loaʻa ka maʻi diabetes. E haʻi pū aku i kāu kauka inā loaʻa ʻoe i kahi maʻi, kahi maʻi gastrointestinal e like me ka diarrhea, a sprue paha (kahi hopena maʻi ʻino i ka protein i loaʻa i nā hua e kumu ai ka maʻi pākī), a i ʻole kahi catheter e noho ana i loko (kahi paipu ea maʻalahi e waiho ʻia i loko o ka pāpaʻi e ʻae ai ka mimi e ninini aku ai).
  • E haʻi i kāu kauka inā hāpai ʻoe, e noʻonoʻo e hāpai ana ʻoe, a i ʻole hoʻolālā e hāpai i ka wā e lawe ana i warfarin. ʻAʻole pono nā wahine hāpai e lawe i ka warfarin ke ʻole lākou i ka puʻuwai puʻuwai mechanical. E kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i ka kaohi hānau kūpono ʻoiai e lawe ana i warfarin. Inā hāpai ʻoe i ka lawe ʻana i warfarin, e kāhea koke i kāu kauka. Hiki iā Warfarin ke hōʻeha i ka fetus.
  • e haʻi i kāu kauka inā ʻoe e hānai umauma ana.
  • inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o ka niho, a i ʻole kekahi ʻano o ke kaʻina hana olakino a niho paha, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i warfarin. E haʻi paha kāu kauka iā ʻoe e haʻalele i ka lawe ʻana i ka warfarin ma mua o ke ʻoki a me ke kaʻina hana a i ʻole hoʻololi i kāu mea o ka warfarin ma mua o ke ʻoki a me ke kaʻina hana. E mālama pono i nā kuhikuhi a kāu kauka a mālama i nā manawa āpau me ka keʻena hoʻokolohua inā kauoha kāu kauka i nā hoʻokolohua koko e ʻike i ka mahele lāʻau ʻoi loa o ka warfarin nou.
  • e nīnau i kāu kauka e pili ana i ka hoʻohana palekana o nā mea inu ʻona ʻoiai ʻoe e lawe nei i warfarin.
  • e haʻi i kāu kauka inā hoʻohana ʻoe i nā huahana paka. Hiki i ka uahi paka ʻana ke hōʻemi i ka pono o kēia lāʻau.

ʻAi i kahi papaʻai olakino maʻamau. ʻO kekahi mau meaʻai a me nā mea inu, ʻo ia hoʻi nā mea i loaʻa ka huaola K, hiki ke hoʻopili i ka hana ʻana o warfarin iā ʻoe. E noi i kāu kauka a kauka paha no kahi papa inoa o nā meaʻai i loaʻa ka huaola K. ʻAi i ka nui o nā huaʻai K-loaʻa nā meaʻai i kēlā me kēia pule i kēlā me kēia pule. Mai ʻai i ka nui o nā lau, nā lau ʻōmaʻomaʻo a i ʻole kekahi mau aila mea kanu i loaʻa ka nui o nā huaora K. E kamaʻilio pū me kāu kauka ma mua o kou hoʻololi ʻana i kāu papaʻai. E kamaʻilio me kāu kauka e pili ana i ka ʻai ʻana i ka huaʻōlau a me ka inu ʻana i ka wai momona a ke lawe nei ʻoe i kēia lāʻau.

E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai, inā ʻo ia ka lā like e lawe ai ʻoe i ka lāʻau. Mai lawe i kahi lāʻau pālua i ka lā aʻe e pani no kahi mea i hala. Kāhea i kāu kauka inā ʻoe e nalo i kahi mahele o warfarin.

Hoʻokumu paha ʻo Warfarin i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • ʻenekini
  • abdominal eha
  • ʻōhūhū
  • hoʻololi i ke ʻano o ka ʻono o nā mea
  • lilo o ka lauoho
  • ke anuanu a i ʻole ke anuanu

Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, a i ʻole nā ​​mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka.

  • hives
  • hūwī
  • ʻūlili
  • pilikia i ka hanu ʻana a i ʻole ke ale ʻana
  • pehu o ka maka, ʻāʻī, elelo, lehelehe, a i ʻole nā ​​maka
  • hulahula
  • ʻeha ka umauma a i ʻole kaomi
  • ka pehu o nā lima, ka wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
  • fiva
  • maʻi maʻi
  • nausea
  • ka luaʻi
  • pāhoehoe
  • luhi loa
  • nele i ka ikaika
  • nalo ʻai ʻole
  • ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū
  • melemele o ka ʻili a me nā maka
  • nā ʻōuli like flu

Pono ʻoe e ʻike ʻo warfarin ke kumu o ka nerosis a i ʻole ka gangrene (ka make ʻana o ka ʻili a i ʻole nā ​​kino o ke kino). Kāhea koke i kāu kauka inā ʻoe e ʻike i kahi kala ʻeleʻele a i ʻeleʻele hoʻi i kou ʻili, loli i ka ʻili, ulcer, a i ʻole pilikia ʻē aʻe i kēlā me kēia wahi o kou ʻili a i ʻole kino, a inā he ʻeha ʻeha kou i kū koke, a i ʻole kala a i ʻole hoʻololi i ka mahana. i kēlā me kēia wahi o kou kino. Kāhea koke i kāu kauka inā ʻeha kou mau manamana wāwae a lilo i poni a ʻeleʻele i ke kala. Pono ʻoe i ka mālama olakino koke e pale aku i ka ʻoki ʻana (lawe ʻana) o kāu ʻāpana o ke kino i hoʻopilikia ʻia.

Hoʻokumu paha ʻo Warfarin i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.

E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela a mamao aku mai ka nui o ka wela, ka pulu (ʻaʻole i loko o ka lua) a me nā kukui.

Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, ​​nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.

He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org

I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.

Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

  • koko a ʻulaʻula, a i ʻole neenee i ka ʻōpū
  • kuha a kuha paha i ke koko
  • kahe nui ke kahe me kou manawa menstrual
  • mimi, ʻulaʻula, a i ʻole mimi eleele ʻeleʻele
  • e ʻū ana a i ʻole ka luaʻi o nā mea e like me ke kahua kope
  • liʻiliʻi, pālahalaha, ʻulaʻula a puni nā kiko ma lalo o ka ʻili
  • ʻāpā ʻaʻano ʻole a hoʻokahe koko paha
  • hoʻomau i ke kahe ʻana a i ʻole ke kahe ʻana mai nā ʻoki liʻiliʻi

Lawe i kahi kāleka e ʻike ai a hoʻokomo paha i kahi kūpeʻe lima e ʻōlelo ana e lawe ʻoe i warfarin. E noi i kāu kauka lāʻau a kauka paha pehea e loaʻa ai kēia kāleka a i ʻole ka kūpeʻe lima. E helu i kou inoa, nā pilikia olakino, nā lāʻau a me nā lāʻau, a me ka inoa o ke kauka a me kāu helu kelepona ma ke kāleka.

E haʻi i kāu poʻe mālama ola āu e lawe ai i warfarin.

Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

  • ʻO Coumadin®
  • ʻO Jantoven®
Nānā Hou - 06/15/2017

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