Discussion Forum for 3/8/18

Discuss how and when you would intervene (if any) in the following example and situations:

62F on fluoxetine 40mg x 5 months for PTSD/MDD, warfarin x 4 years for A.fib, stroke. Labs WNL, INR is therapeutic.

Situation 1: New complaints of bleeding of gums for 10-20 minutes

Situation 2: Pale, poor energy, falls 2-3x/month

Situation 3: Reports dark tarry stools since dose increase of fluoxetine

Situation 4: New complaints of bruises lasting at least 1 week and are slow to completely heal