After a PE, patients are frequently discharged from the hospital on warfarin (Coumadin). However, people who have a CYP2C19 gene mutation do not properly metabolize warfarin, resulting in higher blood levels and more side effects.
This patient is a poor candidate for warfarin medication; hence the doctor will probably recommend implanting an IVC filter. The nurse needs to get ready to teach this procedure before surgery. It is not possible to completely cut out vitamin K from the diet. Even if a support group for those with chronic illnesses may be necessary, the IVC filter is a better intervention because it is more tailored to the client's needs. For patients receiving anticoagulant therapy, a soft-bristled toothbrush is a safety precaution.
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