RT Book, Section A1 Williams, Saralyn R. A1 Thurman, R. Jason A2 Knoop, Kevin J. A2 Stack, Lawrence B. A2 Storrow, Alan B. A2 Thurman, R. Jason SR Print(0) ID 1181056948 T1 Anticoagulants T2 The Atlas of Emergency Medicine, 5e YR 2021 FD 2021 PB McGraw-Hill PP New York, NY SN 9781260134940 LK accessmedicine.mhmedical.com/content.aspx?aid=1181056948 RD 2024/04/18 AB Since the discovery of the cause of a hemorrhagic disorder in Wisconsin cattle in the early 20th century, warfarin and its analogs have been used as rodenticides and pharmacologic agents. Warfarin is actually named after the Wisconsin Alumni Research Foundation. Warfarin-like xenobiotics inhibit the activity of vitamin K 2,3-epoxide reductase, thus affecting the production of the vitamin K–dependent factors of II, VII, IX, and X. While the effect on the production of the vitamin K–dependent factors occurs soon after absorption of warfarin, the clinical effect is delayed until the available activated factors are depleted.