Explain why both heparin and warfarin (Coumadin) therapy should be given simultaneously at the initiation of therapy

You are giving an inservice to new nurse graduates on anticoagulation in patients with deep vein thrombosis (DVT).

1. Explain why both heparin and warfarin (Coumadin) therapy should be given simultaneously at the initiation of therapy.

a. Include the rationale for the overlap (Hint: the rationale is more than just warfarin working slowly)

b. How long the drugs should be overlapped (Hint: Use Chest guidelines for treating DVTs that I have attached).
One page for each question please. One reference please.


 

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