Patient was educated on contraindications for using Coumadin as follows: Coumadin should be avoided in individuals with any active bleeding from any wound or surgical site. Using Coumadin in such individuals can result in uncontrolled hemorrhage and blood loss. Avoid drinking grapefruit juice, while you are taking Coumadin. Grapefruit juice inhibits the metabolism of Coumadin and this can lead to increased blood levels of Coumadin for longer duration, leading to toxicity and episodes of bleeding. [...]

Patient was educated on contraindications for using Coumadin as follows: Coumadin is mainly metabolized by the liver. Individuals with history of compromised liver function cannot metabolize Coumadin and this can lead to increased blood levels of Coumadin for longer duration, leading to toxicity and episodes of bleeding. Coumadin should be avoided or used with extreme caution in such individuals. Coumadin is mainly excreted in the urine. Individuals with history of compromised renal functions tend to [...]

Patient was educated on precautions to be exercised while taking Coumadin as follows: Coumadin should be avoided in individuals taking NSAIDs and other blood thinners. Taking Coumadin along with NSAIDs or other blood thinners concurrently can significantly increase the risk for bleeding episode. Also, maintaining a schedule for anticoagulant intake will help maintain the blood uniformly thin. This prevents the risks of extra thinning with consequent bleeding and thickening of blood with consequent clot formation. [...]

Patient was educated on precautions to be exercised while taking Coumadin as follows: Wear gloves while doing household projects. Exercise caution while using sharp instruments, such as knives, needles, and forks. Use an electric razor, while shaving, as shaving with a regular razor carries a significant risk for sustaining cuts and consequent bleeding. Watch for hard surfaces around during ambulation and avoid knocking against them. Senior citizens have a tender skin and bumping into such [...]

Patient was educated on precautions to be exercised while taking Coumadin as follows: Be cautious about taking OTC vitamin supplements, as they contain vitamin K and can compromise the therapeutic effects of Coumadin. Consuming these OTC products with Vitamin K can result in clot formation. Do not discontinue taking this medication without recommendation by your doctor. Abrupt withdrawal from Coumadin intake can result in clot formation and consequent DVT, pulmonary embolism, and development of stroke. [...]