A Patient Who Has Atrial Fibrillation (AF)has Been Taking Warfarin

A patient who has atrial fibrillation (AF) has been taking warfarin (Coumadin) .The primary care nurse practitioner (NP) plans to change the patient's medication to dabigatran (Pradaxa) .To do this safely,the NP should:

A) initiate dabigatran when the patient's international normalized ratio (INR) is less than 2.
B) start dabigatran 7 to 14 days after discontinuing warfarin.
C) begin giving dabigatran 1 week before discontinuing warfarin.
D) order frequent monitoring of the patient's INR after dabigatran therapy begins.

Correct Answer:

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