Scenario   Sandra is a 27-year-old female admitted with a possible Deep Vein Thrombosis (DVT). She smokes one pack per day and is on birth control. She has a history of hypertension and obesity. She is admitted to the hospital and placed on bedrest. Heparin drip is started per protocol. The Provider is anticipating on sending her home with Coumadin.Question 1

• Can Sandra be placed on Coumadin and Heparin at the same time? Explain your answer.
• Develop 3 teaching points important for Sandra to know about her medications regimen.
• What questions would you ask Sandra to verify that she understand the 3 teaching points?

Question 2 for each of the following anticoagulant, list a) 3 things you would teach a patient, b) 3 things you would assess, c)  3 action you would take or do  in patients taking 

1) heparin

2) Coumadin

 3) Levonox.