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A nurse is admitting a client at 12 weeks' gestation for treatment of a deep vein thrombosis. What therapeutic med is contraindicated in pregnancy?

User Adebayo
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Final Answer:

Warfarin is contraindicated in pregnancy for the treatment of deep vein thrombosis.

Step-by-step explanation:

Warfarin, an anticoagulant, is contraindicated during pregnancy due to its potential teratogenic effects. The drug can cross the placental barrier and interfere with fetal development, leading to birth defects. Warfarin inhibits the synthesis of vitamin K-dependent clotting factors, and while it is effective for treating deep vein thrombosis in non-pregnant individuals, its use during pregnancy poses significant risks.

During embryonic development, vital organs and systems form, and any disruption caused by teratogenic substances can result in congenital abnormalities. Warfarin, with its potential to cause developmental issues, is replaced with alternative anticoagulant therapies, such as low molecular weight heparin (LMWH), which have a better safety profile during pregnancy.

LMWH does not cross the placenta to the same extent as Warfarin, reducing the risk of adverse effects on the developing fetus. The choice of anticoagulant therapy in pregnancy is a delicate balance between managing the maternal condition and ensuring the safety of the unborn child.

User Brewal
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