To prevent this, prophylactic administration of drugs such as calcium channel blockers, digoxin, and b-blockers have been advised. The Pharmacist's Perspective. The structured care plan for a coronary artery bypass surgery defines what is expected of the pharmacist, states when such responsibilities are to be provided, and serves as a documentation tool for such accountabilities. To fulfill the specific teaching responsibility documented in the structured plan, a patient-medication discharge computer program has been developed. Drug Interactions with Warfarin.
Warfarin is the most commonly used oral anticoagulant.
The challenge of successful anticoagulation is to prevent thrombosis while minimizing the risk of hemorrhage, so the appropriate dosage of warfarin is critical. In addition, certain medications could produce potentially life-threatening drug interactions. Several factors, including age, disease, smoking history, diet, and concurrent medications, may alter the pharmacodynamic and pharmacokinetic effects of warfarin, thus increasing or reducing its anticoagulant effects. To be both responsible and accountable for anticoagulation therapy, the pharmacist must know which medications interact with warfarin and be aware of the mechanisms of such interactions. Thrombolytic Agents in Critical Care.