Varfarin Kullanımında Hemşirenin Önemi: İki Ucu Keskin Bıçak The Importance of The Nurse at The Use of Warfarin: Double-Edged Sword

Yıl 2021, Cilt: 4 Sayı: 3, 71 - 84, 30.12.2021

Hatice Us , Gülay Yazıcı

Öz

Varfarin, Dünya’da tromboembolik olayların önlenmesinde en yaygın olarak kullanılan oral antikoagülandır. Dar bir terapötik etkiye sahip olmasının yanı sıra ilaç-ilaç, ilaç-besin etkileşimi sonucu önemli yan etkilerin oluşması nedeniyle klinik olarak kullanımı zor bir ilaçtır. Son yıllarda birçok yeni oral antikoagülan ilaç bulunsa da yeteri kadar kanıt olmadığından kullanımları yaygın değildir. Bu nedenle varfarinin yan etkilerini, hangi ilaç ve besinlerle etkileştiğini, doz yönetimini, etki mekanizmasını bilmek herhangi bir komplikasyon oluşumunu azaltmakta yardımcı olacaktır. Bunun için de hemşire ve sağlık personelinin eğitimi çok önemlidir. Sağlık profesyonelleri içinde hemşire, hasta ve ailesiyle ilk iletişime geçen ve ilk bilgilere ulaşan meslek grubudur. Hemşirelerin en önemli sorumluluklarından biri de hasta eğitimidir. Hemşire hasta eğitimi ile hastanın güvenli bir şekilde varfarin kullanımını sağlayabilmeli ve hastayı olası problemlerden koruyabilmelidir.

Anahtar Kelimeler

antikoagülan ilaçlar, hasta eğitimi, hemşirelik, varfarin

The Importance of The Nurse at The Use of Warfarin: Double-Edged Sword

Öz

Warfarin is the most widely used oral anticoagulant in the world for the prevention of thromboembolic events. In addition to having a narrow therapeutic effect, it is a difficult drug to use clinically due to the occurrence of significant side effects as a result of drug-drug and drug-food interactions. Although many new oral anticoagulant drugs have been found in recent years, their use is not common due to insufficient evidence. For this reason, knowing the side effects of warfarin, which drugs and foods it interacts with, dose management and mechanism of action will help to reduce any complications. For this, the training of nurses and health personnel is very important. Among the health professionals, the nurse is the first professional group to communicate with the patient and their family and access the first information. One of the most important responsibilities of nurses is patient education. The nurse should be able to provide the patient to use warfarin safely and protect the patient from possible problems with patient education.

Anahtar Kelimeler

Anticoagulant drugs, nursing, patient education, warfarin

Kaynakça

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