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Table 9 Cardiovascular nurses’ practice patterns; use of oral anticoagulants, involvement in oral anticoagulation therapy and use of patient INR self-management

From: Education and practice gaps on atrial fibrillation and anticoagulation: a survey of cardiovascular nurses

Question n (%)
Oral anticoagulants in use in daily practice
 • Warfarin (Coumadin)  • Dabigatran (Pradaxa)  • Rivaroxaban (Xareltro)  • Apixaban (Eiliquis) 51 (100) 33 (65) 33 (65) 11 (22)
Will patients be offered a choice of drug?
 • No, all patients will be put on warfarin first  • Some patients may be offered new anticoagulation  • Most patients will be given a choice 1 (2) 41 (82) 8 (16)
Will patients on warfarin be able to change to one of the new drugs?
 • No, they will need to stay on warfarin  • May change if difficulties keeping INR in therapeutic range  • Any patient can change to one of the new drugs 1 (1) 29 (59) 19 (39)
Do you offer patients INR self-testing or self-management?
 • Both self-testing and self-management of INR  • Only self-testing of INR  • Neither self-testing nor self-management  • Never heard about self-testing of self-management of INR 6 (12) 0 (0) 30 (60) 14 (28)
The role of nurses regarding anticoagulants in your country
 • Do not have a specific role  • Counsel patients regarding adherence to drug regimen  • Advice patients on dosing warfarin based on INR results  • Teach about drugs, how to take them and side effects 11 (21) 34 (65) 8 (15) 33 (64)
  1. INR international normalized ratio