Quick Answer: Is Warfarin A High Alert Medication?

Is Potassium a high alert medication?

In an effort to reduce the risks associated with the use of intravenous potassium chloride, the Australian Council for Safety and Quality in Health Care has issued a high-risk medication alert for intravenous potassium chloride..

Why do you need to take warfarin at 6pm?

In order to shorten the response time for making a dosing change, patients are traditionally advised to have their INR test in the morning and to take their warfarin in the evening (so that the INR test result will be back in time to change that day’s warfarin dose if needed).

Why does warfarin interact with so many drugs?

Warfarin’s hepatic metabolism and protein binding are the most common mechanisms for the occurrence of drug-drug interactions. Warfarin is metabolized via the cytochrome P450 system by CYP 2C9, 1A2, and 3A4. It is a racemic mixture with the S-enantiomer being 2.7 to 3.8 times more potent than the R-enantiomer.

What is the strongest pain killer?

Opioids more powerful than morphine include hydromorphone (Dilaudid) and oxymorphone (Opana). But the strongest opioid in community use is fentanyl which, in its intravenous form, is 70 to 100 times more potent than morphine.

Is Quetiapine a high risk medication?

Studies have shown that older adults with dementia (a brain disorder that affects the ability to remember, think clearly, communicate, and perform daily activities and that may cause changes in mood and personality) who take antipsychotics (medications for mental illness) such as quetiapine have an increased risk of …

What happens if your warfarin is too high?

If the INR is too low, blood clots will not be prevented, but if the INR is too high, there is an increased risk of bleeding. This is why those who take warfarin must have their blood tested so frequently.

Can you have a stroke while on warfarin?

Stroke can occur in patients on warfarin despite anticoagulation. Patients with a low international normalized ratio (INR) should theoretically be at greater risk for ischemia than those who are therapeutic.

Is tramadol considered a high risk medication?

New research on tramadol Those prescribed tramadol had a higher risk of death than those prescribed anti-inflammatory medications. For example: naproxen: 2.2% of the tramadol group died vs. 1.3% of the naproxen group.

Is calcium gluconate a high alert medication?

High Alert Medication: This medication bears a heightened risk of causing significant patient harm when it is used in error.

How long can you take warfarin?

How long to take it for. If you have had a blood clot in your leg or lungs, you’ll probably take a short course of warfarin for 6 weeks to 6 months.

Is Gabapentin a high risk drug?

Even when used for legitimate reasons, gabapentin taken in combination with opioids increases the risk of respiratory depression and death.

What are the top 5 high alert medications?

The five high-alert medications are insulin, opiates and narcotics, injectable potassium chloride (or phosphate) concentrate, intravenous anticoagulants (heparin), and sodium chloride solutions above 0.9%.

Why is heparin high alert?

Heparin inhibits or inactivates reactions on the clotting cascade that lead to coagulation and development/stabilization of fibrin clots. These actions can lead to severe bleeding when the heparin dose is too high.

Is oxytocin a high alert medication?

Oxytocin is a high-alert medication. Oxytocin is commonly used on L&D units, but administration procedures vary greatly because of lack of standardization, local culture, and individual provider training and preferences. Inappropriate use of oxytocin is one of the top areas of preventable perinatal harm.

Is propofol a high alert medication?

Propofol has long been on ISMP’s list of high alert medications and ISMP has published medication safety alerts about propofol. They include multiple examples of patients developing respiratory arrest or hypotension during propofol sedation for procedures.

Is Tramadol stronger than codeine?

Tramadol and codeine are much less potent than other opiates like morphine, heroin, and its synthetic counterpart Fentanyl. Because of this, short-term use of tramadol and codeine for cough or moderate pain symptoms comes with a relatively low risk of addiction or withdrawal.

Which drugs increase metabolism of warfarin?

Warfarin drug interactionsDrug/Drug ClassEffect on INRProposed MechanismcimetidineincreasedInhibition of Warfarin MetabolismciprofloxacinincreasedInhibition of Warfarin MetabolismclarithromycinincreasedInhibition of Warfarin MetabolismclofibrateincreasedUnexplained Mechanisms52 more rows

What are major side effects of warfarin?

What are the side effects of warfarin?Severe bleeding, including heavier than normal menstrual bleeding.Red or brown urine.Black or bloody stool.Severe headache or stomach pain.Joint pain, discomfort or swelling, especially after an injury.Vomiting of blood or material that looks like coffee grounds.Coughing up blood.More items…•

What are LASA drugs?

Look Alike Sound Alike (LASA) medications involve medications that are visually similar in physical appearance or packaging and names of medications that have spelling similarities and/or similar phonetics.

What are the high alert medications?

Classes/categories of high-alert medicationsadrenergic agonists, IV (e.g., EPINEPHrine, phenylephrine, norepinephrine)adrenergic antagonists, IV (e.g., propranolol, metoprolol, labetalol)anesthetic agents, general, inhaled and IV (e.g., propofol, ketamine)antiarrhythmics, IV (e.g., lidocaine, amiodarone)More items…•

Can you eat bananas while taking warfarin?

If you are a patient on warfarin, wondering whether it’s on your list of foods you can eat without worry shouldn’t make you crazy. The only time to be a little cautious when eating bananas is when you prepare green bananas.