Yes, warfarin and heparin can be given at the same.
Warfarin (Coumadin) is an anticoagulant manufactured as a pharmaceutical drug used in low doses with regular monitoring for the prevention of thrombosis and embolism. Heparin (blood thinner) is also a pharmaceutical drug used to prevent thrombosis and embolism, but they work in different ways.
Warfarin and heparin are used together because it takes 5 to 7 days for the effect of warfarin to manifest. Heparin is fast-acting. Once the warfarin because active, heparin is discontinued.
Warfarin often comes in the form of tablets, while heparin comes in the form of injectable, which is injected intramuscularly. Patients receiving heparin must be closely monitored, and it is only used in the inpatient settings.
Cervical softening (Goodell sign) and uterine soufflare two probable signs of pregnancy. Probable signs are objective findings that strongly suggest pregnancy. Other probable signs include Hegar sign. which is softening of the lower uterine segment; Piskacek sign. which is an enlargement and softening of the uterus; serum laboratory tests; changes in skin pigmentation; and ultrasonic evidence of a gestational sac.Option B: Presumptive signs are subjective signs and include amenorrhea; nausea and vomiting; urinary frequency; breast tenderness and changes; excessive fatigue; uterine enlargement; and quickening.