Get Answer: Viva Voce Scenario Question Guide
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Original Question
Viva Voce Scenario You are working as a registered nurse in a community setting, buddied with a nursing student, Greg. You are assigned to care for Mrs Neda, who requires an International Normalised Ratio (INR) test. You note that Mrs Neda is taking warfarin (Coumadin) as part of the management of her atrial fibrillation. Greg asks you if you could explain the mechanism of action of warfarin (Coumadin) to him. Question 1:Explain to Greg the mechanism of action of warfarin (Coumadin). Mrs Neda complains of gum bleeding when she brushes her teeth and asks you to explain why this is happening. Question 2:Provide an explanation to Mrs Neda whybleeding is one of the side-effects of warfarin (Coumadin). Greg noted that Mrs Neda also takes an antidysrhythmic. Greg asks you why two drugs are needed. Question 3:Explain to Greg why multiple drugs are given when a patient has atrial fibrillation. The INR comes back on the high side of normal. You speak toMrs Neda before you leave and offer her some advice. Question 4:Explain to Mrs Neda what considerations she needs to have when taking warfarin (Coumadin). General questions, not related to scenario Question 5:Briefly provide a summary of what you learned from: a) your answer to your Weekly Topic Question; b) the postings that your read from your peers in your tutorial group. Question 6: Choose one drug that you have learned to date in this subject. (a) Provide the generic name of this drug and the class (b) What is the mechanism of action that resulted in that specific therapeutic effect?
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