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. 2021 Dec 7;13:100155. doi: 10.1016/j.metop.2021.100155

Table 2.

Warfarin knowledge of study participants attending in cardiac and hematology clinics, Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia, 2019 (n = 401).

Variables Correctly answered (%)
Which one of these medications is recommended if you are taking Coumadin (warfarin) and want relief from a headache? 13 (3.2%)
  • A.

    Advil (NSAID)

  • B.

    Motrin

  • C.

    Aspirin

  • D.

    a Tylenol (Acetaminophen)

Which of the following food items would interfere with your Coumadin (warfarin) medication? 209 (52.1%)
  • A.

    Bacon

  • B.

    a Broccoli

  • C.

    Bananas

  • D.

    Peeled cucumbers

While on Coumadin (warfarin) medication, in which of the following would you go directly to the emergency room? 184 (45.9%)
  • A.

    Small bruises

  • B.

    Your appetite dramatically increases

  • C.

    a Nosebleed which will not stop bleeding

  • D.

    Gums which bleed for a few seconds after brushing teeth

You just remembered that you forgot to take your evening Coumadin (warfarin) medication dose last night. You would? 122 (30.4%)
  • A.

    aSkip the dose of Coumadin (warfarin) you missed

  • B.

    Take the missed Coumadin (warfarin) dose right now

  • C.

    Wait and take 2 doses of Coumadin (warfarin) this evening

  • D.

    Take one-half of the missed dose of Coumadin (warfarin) right now

While on Coumadin (warfarin) you? 69 (17.2%)
  • A.

    Should not eat spinach

  • B.

    Can eat spinach one time a month

  • C.

    Can eat as much spinach as you would like whenever you would like

  • D.

    a Can eat spinach but need to eat the same amount regularly every week

While out with friends for dinner, you have just finished your third glass of wine. This amount of alcohol consumed in a single evening will do? 43 (10.7%)
  • A.

    Cause a decrease in your INR

  • B.

    a Cause an increase in your INR

  • C.

    Not affect you or your Coumadin (warfarin) in any way

  • D.

    Make you sick when taking Coumadin (warfarin) medication

While in your pharmacy, you notice multivitamins are on sale. After some thought, you decide that you may need a multivitamin. You would do? 365 (91.0%)
  • A.

    Purchase the multivitamin and begin taking it regularly

  • B.

    Not take a multivitamin because it will cause a blood clot while taking Coumadin (warfarin)

  • C.

    Start taking it and bring the multivitamin to your next Coumadin Clinic visit to show the pharmacist

  • D.

    a Purchase the multivitamin but not start taking it until you talked with the pharmacist at your Coumadin Clinic

If you ran out of your prescription for your Coumadin (warfarin) you would do? 46 (11.5%)
  • A.

    Borrow Coumadin (warfarin) from a friend, as long as it is the same dose as yours

  • B.

    a Call and ask for refills for that day so you do not miss a dose of Coumadin (warfarin)

  • C.

    Wait until your next appointment that is just a few days away to get a new prescription

  • D.

    Do nothing because you have taken Coumadin (warfarin) long enough, otherwise there would be more refills on your prescription

Which of the following is an effect of Coumadin (warfarin) medication that will most likely be experienced? 297 (74.1%)
  • A.

    Stroke

  • B.

    Leg clot

  • C.

    a Bruising

  • D.

    Blood in the urine

You have a cold, which includes a runny nose and a cough. You do? 205 (51.1%)
  • A.

    Could safely take Nyquil (Acetaminophen, Dextromethorphan and Doxylamine) to help get rid of the runny nose and cough

  • B.

    Take your friend’s medication that he/she uses for a bad cold because he/she is also on Coumadin (warfarin) medication

  • C.

    a Would call the Coumadin Clinic and tell him/her you are on Coumadin (warfarin) medication and ask what you can take for your cold

  • D.

    Decide it is safer to suffer through the cold because most cold medications will interact with your Coumadin (warfarin) medication

When making a dental appointment while taking Coumadin (warfarin) medication, you need to remember you? 131 (32.7%)
  • A.

    Cannot have procedures done on your teeth while taking Coumadin (warfarin)

  • B.

    a Must tell your dentist you are taking Coumadin (warfarin) well in advance of having any procedure done

  • C.

    Can have procedures done and there is not a need to tell the dentist about the Coumadin (warfarin)

  • D.

    Can have the dental procedure done if when you arrive at your dental appointment you tell the dentist you are taking Coumadin (warfarin)

When the need arises to take an antibiotic (to get rid of an infection) while taking Coumadin (warfarin), you need to? 315 (78.6%)
  • A.

    Take half of the prescribed length of therapy, and then call the Coumadin Clinic

  • B.

    Refuse to take any new medication because you are taking Coumadin (warfarin)

  • C.

    Wait until your next Coumadin Clinic visit and then tell the pharmacist about the antibiotic

  • D.

    a Call the Coumadin Clinic right away and let them know you are starting a new medication

Coumadin (warfarin) works? 196 (48.9%)
  • A.

    In my liver to make my blood thicker

  • B.

    a In my liver to make my blood thinner

  • C.

    In my kidneys to make my blood thicker

  • D.

    In my kidneys to make my blood thinner

The best time of day for me to take my Coumadin (warfarin) is? 381 (95.0%)
  • A.

    At lunchtime

  • B.

    a In the evening

  • C.

    In the morning before breakfast

  • D.

    Any time of day when I remember

Which of the following is an effect of my Coumadin (warfarin) medication that I will most likely experience if my INR is too high? 163 (40.6%)
  • A.

    A clot in the leg

  • B.

    a Minor bleeding

  • C.

    Clot in the lung

  • D.

    Bleeding in the brain

Which of the following drinks can decrease the effectiveness of your Coumadin (warfarin)? 10 (2.5%)
  • A.

    Deans 2% low-fat milk

  • B.

    Hershey’s chocolate shake

  • C.

    Tropicana orange juice

  • D.

    a Ensure nutritional supplement

While taking Coumadin (warfarin), which of the following represents a situation when you should to go to the emergency room? 164 (40.1%)
  • A.

    aYou cough up blood

  • B.

    Your nose bleeds slightly while blowing it

  • C.

    You gums bleed after brushing your teeth then it stops quickly

  • D.

    You have cut yourself while shaving and you control the bleeding

Your neighbor brings over this great ‘‘all natural’’ herbal supplement she just bought from her chiropractor. She swears that this helps all her aches and pains and recommends that you take it when you ache. Your decision is to? 67 (16.7%)
  • A.

    Take her advice, realizing that you could use this herbal supplement

  • B.

    Start taking the herbal supplement and tell your pharmacist at the next office visit

  • C.

    a Ask your pharmacist if the herbal supplement will interact with your medications before you take it

  • D.

    Avoid taking herbal supplements altogether because all medications interact with Coumadin (warfarin)

Once you have reached a stable Coumadin (warfarin) dose, a PT/INR blood test? 236 (58.9%)
  • A.

    Should be checked once a year

  • B.

    Should be checked once every 3 months

  • C.

    a Should be checked at least once every 4 weeks

  • D.

    Does not need to be checked once you are on a stable Coumadin (warfarin) dose

The results of your PT/INR test tell the pharmacist? 109 (27.2%)
  • A.

    aHow thick or thin your blood is while taking Coumadin (warfarin)

  • B.

    How well your kidneys are working since taking Coumadin (warfarin)

  • C.

    What your average blood sugar level was since taking Coumadin (warfarin)

  • D.

    How much alcohol you have been drinking since taking Coumadin (warfarin)

While taking Coumadin (warfarin), you should call your Coumadin Clinic when you get? 12 (3.0%)
  • A.

    A backache

  • B.

    An upset stomach

  • C.

    A tension headache

  • D.

    a Diarrhea for more than 1 day

While on Coumadin (warfarin) you need to be routinely monitored for which of the following? 353 (88.0%)
  • A.

    aPT/INR tests

  • B.

    Potassium levels

  • C.

    Blood glucose levels

  • D.

    Kidney function tests

Which of the following may have a significant effect on how well your Coumadin (warfarin) works? 15 (3.7%)
  • A.

    Changes in your mood

  • B.

    Changes in sleep habits

  • C.

    How much water you drink

  • D.

    a Using over the counter medications

While taking Coumadin (warfarin), which of the following should lead you to the emergency room? 188 (46.9%)
  • A.

    Loss of appetite

  • B.

    Brown loose stools

  • C.

    a Urine becomes red in color

  • D.

    A quarter size bruise on your arm

Which of the following foods could affect how well your Coumadin (warfarin) works? 227 (56.6%)
  • A.

    Celery

  • B.

    Carrots

  • C.

    a Cole slaw

  • D.

    Green beans

You have generic and brand Coumadin (warfarin) tablets at home that are both the same dose. You should? 363 (90.5%)
  • A.

    Take both because they work differently

  • B.

    a Take only brand or only generic, but not both

  • C.

    Not take either until you call the Coumadin Clinic

  • D.

    Alternate days by taking brand on one day and generic on the next day

Once your Coumadin (warfarin) is stopped, how long does it take to get the medication to get out of your system? 4 (1%)
  • A.

    5 h

  • B.

    a 5 days

  • C.

    5 weeks

  • D.

    5 months

After starting Coumadin (warfarin), how long (in months/years) would you expect to be taking Coumadin (warfarin)? 193 (48.1%)
  • A.

    1 year

  • B.

    1 month

  • C.

    a It depends on each person’s needs

  • D.

    If you start Coumadin (warfarin), you will have to be on the medication for the rest of your life

Which of the following activities are more risky while taking Coumadin (warfarin)? 141 (35.2%)
  • A.

    aPlaying football, because you can hit your head

  • B.

    Taking a bath, because soap interacts with Coumadin (warfarin)

  • C.

    Playing cards because using your hands a lot will cause a blood clot

  • D.

    Walking a lot, because exercise is not good for you while taking Coumadin (warfarin)

a

Correct answers.