Bright red or black bowel movements or heavy hemorrhoid bleeding

Red, rust, dark, coffee or cola-colored urine

Pain, swelling, redness or warmth in the extremities or joints

Very tired or pale

Blood clots

Blood clots may develop if your INR is too low. Immediately call your health

care provider or go to the nearest emergency room if you have any of these

signs:

Blood Clots

Unusual headache

Feeling dizzy or faint

Sudden change in speech or vision

Numbness or tingling anywhere

Sudden weakness in arms or legs

Severe pain (such as stomach ache, abdominal pain, headache)

Unusual pain, swelling, redness or warmth in the extremities or joints

Pale or cool leg, arm, finger or toe

Skin necrosis

Skin necrosis is when there is death of body tissue. It is a rare condition that

can happen when taking Warfarin. It usually occurs on fat tissue such as the

breast, buttocks or abdomen. It will start as a red, swollen, painful area on

your skin. As it gets worse a black scab will develop. Call your health care

provider immediately if you have these signs.

What else do I need to do?

Many things in your everyday life can affect your Warfarin therapy. It is very

important to follow all the instructions you are given by your health care team.

Diet: What you eat has a big effect on how Warfarin works.

Vitamin K is a nutrient you need for many reasons. Vitamin K helps stop

bleeding. Since you are taking Warfarin to stop blood clots from forming or

getting larger, the amount of Vitamin K in your diet can affect how the

Warfarin you take works. It is important that you eat some foods that contain

Vitamin K for good nutrition. But, it is also important that you do not eat too

much of these foods.

Your vitamin K intake should be about the same from week to

week.

Foods with the most vitamin K are dark green and leafy vegetables

(like broccoli and spinach).

Based on __