護理師向使用華法林(Warfarin)新處方的病人進行出院衛教,下列哪些內容是必要的?(選所有適合的)
A nurse is providing discharge teaching to a client with a new prescription for warfarin. Which instructions are essential? (Select all that apply.)
- AMaintain a consistent intake of leafy green vegetables✓ 正解保持葉菜類蔬菜攝取量一致
- BUse a soft-bristled toothbrush for oral hygiene✓ 正解使用軟毛牙刷進行口腔衛生清潔
- CReport any unexplained bruising or nosebleeds✓ 正解回報任何不明原因的瘀青或鼻出血
- DIncrease intake of Vitamin K-rich foods增加富含維生素K食物的攝取
- ECheck with the provider before starting over-the-counter medications✓ 正解在開始服用非處方藥前,先諮詢醫師
華法林(Warfarin)是一種維生素 K 拮抗劑,其劑量調整極度依賴飲食中維生素 K 的攝取量。護理師必須教育病人穩定攝取富含維生素 K 的食物,不可大幅波動,以免影響凝血功能(INR)。此外,華法林會增加出血風險,病人需採取預防出血的居家措施,並在服用任何新藥前諮詢醫師,因為藥物交互作用會顯著改變藥效。
Clients prescribed warfarin must maintain a consistent intake of vitamin K-rich foods to prevent fluctuations in their INR levels, as significant dietary changes can alter drug efficacy. Essential safety instructions include using a soft-bristled toothbrush to minimize bleeding risk and reporting any unexplained bruising or hemorrhage immediately. Furthermore, clients should consult their provider before taking over-the-counter medications to avoid dangerous drug interactions.