A medical assistant is administering a scheduled dose of warfarin, an anticoagulant, to a patient. Apart from the standard documentation, what additional information is MOST important to include specific to this type of medication?
A comprehensive list of the patient’s diet for the past three days.
The patient's most recent international normalized ratio (INR) level.
The manufacturer and batch number of the warfarin tablet.
A record of all concurrent medications the patient is on.
Warfarin is an anticoagulant that requires careful monitoring of a patient's international normalized ratio (INR) levels to avoid adverse effects such as bleeding complications. Documentation must include not only the standard 'Five Rights' but also pertinent laboratory values, such as the most recent INR, which guides warfarin dosing. Documenting the patient’s diet and concurrent medications is also good practice as they can affect INR levels and warfarin efficacy, but the INR is the most crucial piece of information specific to warfarin administration. The manufacturer and physical description of the pill are not commonly required pieces of data unless there is a specific concern that necessitates their inclusion.
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