Your stools are black and tarlike or have streaks of blood, you have vaginal bleeding when you are not having your period, or heavy. A patients guide to enoxaparin lovenox uconn health. How to give yourself a subcutaneous injection using a. Enoxaparin read this important information before taking. If you gave yourself an injection of enoxaparin lovenox or heparin, dont press down on the injection site. The recommended dose of lovenox is 30 mg every 12 hours administered by subcutaneous injection in patients undergoing hip or knee replacement surgery. Sn informed that the most common side effect associated with lovenox is bleeding. The new site should be at least 12 inches away from the last injection site. Be sure to discuss these steps with your doctor before you administer lovenox for the first time. Lovenox is given by an injection under the skin subcutaneously near an area on the right or left side of your stomach. Prepare your injection only when you are ready to give it. Not to exceed 75 mgdose for first 2 doses only, followed by 0. Lovenox is an anticoagulant that helps prevent the formation of blood clots lovenox is used to treat or prevent a type of blood clot called deep vein thrombosis dvt, which can lead to blood clots in the lungs pulmonary embolism. Ask your doctor, nurse, or pharmacist to teach you how to measure your dose.
Questions about composing a teaching plan for pts on lovenox. Sn advised patient call your doctor or nurse call line now or seek immediate medical care if. Alternate the site of injection between the left and right sides of the stomach and thighs. Do not use if the medicine has changed colors, or has particles in it.
Stepbystep instructions for self injection important safety information for lovenox enoxaparin sodium injection you should call your doctor immediately if you notice any of the following. You may need to inject the full contents of a prefilled syringe, or discard a portion of the medicine in the syringe before injection. You have new bruises that are away from the injection site or blood spots under your skin, you have a nosebleed. If you are receiving epidural or spinal anesthesia or undergoing spinal puncture, and taking. Continued on next page wash and dry your hands thoroughly. Do not rub the injection site after administration. Her work has been featured on the huffington post, diabetes selfmanagement and in the book noninvasive mechanical ventilation, edited by john r. I hate doing my arms because i do it wrong every time. Enoxaparin sodium injection may cause side effects at the site of injection, including mild skin irritation, redness, and bruising. If you are lefthanded, hold the syringe with your left hand.
A dvt can occur after certain types of surgery, or in people who are bedridden due to a prolonged illness. Alternate the site of site of injection between the left and right sides of the abdomen. For hip replacement surgery, a dose of 40 mg once a day subcutaneously, given initially. Special attention and compliance with instructions for use of each specific. Jill corleone is a registered dietitian and health coach who has been writing and lecturing on diet and health for more than 15 years. Enoxaparin lovenox nursing pharmacology considerations. Lovenox selfinjection instructional guide lovenox is an anticoagulant blood thinning medication that is used to reduce the risk of venous thrombosis dangerous blood clots in the legs, after major injury or surgery. Lovenox enoxaparin dosing, indications, interactions.
If shell continue taking enoxaparin after discharge, teach her to inform physicians and. Capitals indicate lifethreatening, underlines indicate most frequent. Enoxaparin lovenox is a lowmolecularweight heparin commonly used to prevent or treat acute deep vein thrombosis. Anticoagulants are medications prescribed specifically to prevent and treat the formation of clots within blood vessels, also called thrombosis enoxaparin is given by a subcutaneous injection. Important safety information for lovenox enoxaparin sodium injection. Enoxaparin lovenox injections in children side effects. You may also hear enoxaparin referred to as low molecular weight heparin.
To avoid the loss of drug when using the 30 and 40 mg prefilled syringes, do not expel the air bubble from the syringe before the injection. Place the swab on a clean surface to use again when withdrawing the needle. Lovenox should never be injected into muscle, as bleeding into the muscle may occur. Efficacy and safety of enoxaparin versus unfractionated heparin for prevention of deep vein thrombosis in elective cancer surgery. Enoxaparin sodium is obtained by alkaline depolymerization of heparin benzyl ester derived from porcine intestinal mucosa. A subcutaneous injection is an injection into the tissue just below the skin, similar to an insulin injection.
If you have the symptoms of a pulmonary embolism listed on page 2, call 911 right away. As with all anticoagulants, bleeding is the major adverse effect of. Please see page 8 for our stepbystep selfinjection guide. Call 18006331610 pleaseseeimportantsafetyinformationonpage5andfullprescribinginformation,includingboxedwarning. Its structure is characterized by a 2osulfo4enepyranosuronic acid group at the nonreducing end and a 2n,6o. It is used to help reduce the risk of formation of blood clots in patients at risk and to treat patients who already have blood clots. Sn informed patient caregiver that lovenox prevents clots from forming in the blood stream.
At first, it may seem like a lot to remember, but injecting lovenox will be much easier after you do it a few times. With the recommendation that enoxaparin be injected into the abdomen to have optimal access to fatty tissue and avoid the bruising or discomfort of injecting into muscle, wallcur offers our practienoxaparin needled syringe for injection practice. Lovenox, you may be at increased risk of developing a blood. Treatment of acute stsegment elevation myocardial infarction. Extra care is needed because enoxaparin is a highalert medicine. Follow the instructions below to inject the medicine into fatty. Lovenox enoxaparin sodium dose, indications, adverse.
Enoxaparin handout uc davis 20 enoxaparin lovenox teaching handout what is enoxaparin lovenox. Enoxaparin institute for safe medication practices. Common questions and answers about lovenox injection teaching. Teach injection administration skills associated with. The most common side effects of enoxaparin sodium injection include bleeding, anemia, a drop in platelet counts, increased liver enzymes, diarrhea, and nausea. As you will recall, lovenox is used to prevent deep venous thrombosis by preventing clots from forming. Lovenox enoxaparin sodium injection prescribing information. Common and rare side effects for lovenox subcutaneous. Enoxaparin lovenox is a blood thinner used to prevent or treat blood clots, and is administered only by injection under the skin using a small needle and. Funny i am reading you post and i just did my nightly injection 10 minutes ago in my arm. If you gave yourself an injection of any other medication, place a cotton ball or gauze over the injection site and press down for several seconds. Provided that hemostasis has been established, the initial dose should be given 12 to 24 hours after surgery. You should administer your lovenox as described below. A patient taking enoxaparin is at risk for bleeding, including retroperitoneal and intracranial bleeding, so monitor her carefully.
The recommended dose of lovenox is a single intravenous bolus of 30 mg plus a 1 mgkg subcutaneous dose followed by 1 mgkg administered subcutaneously every 12 hours maximum 100 mg for the first two doses only, followed by 1 mgkg dosing for the remaining doses in patients with acute stsegment elevation. If you have questions about or problems with lovenox injections, or you. Lovenox is a sterile aqueous solution containing enoxaparin sodium, a low molecular weight heparin. Enoxaparin sodium solution for injection, manufacturers standard. Administer the initial dose 12 to 24 hours after surgery, provided that hemostasis has been established. But these medicines can cause serious injury if a mistake happens while taking them. Lovenox enoxaparin is a bloodthinning drug used to prevent blood clots in the leg veins in patients who are on bed rest or who are having hip replacement, knee replacement, or abdominal surgery. To avoid loss of drug when using the 30 mg or 40 mg prefilled syringes, do not expel the air bubble from the syringe before subcutaneous injection. Our goal is to give you clear and concise information so.
It helps push the medicine into the body so it will not leak out the injection site. Undergoing abdominal surgery who are at risk of thromboembolic complications. Enoxaparin lovenox teaching handout houston methodist. Patients should be lying down and lovenox administered by deep sc injection. Enoxaparin lovenox is administered only by injection under the skin using a small needle and syringe. Questions about composing a teaching plan for pts on lovenox wuhan coronavirus we want to hear from you. Teaching patients about enoxaparin lovenox as a healthcare professional, you have familiarized yourself with the important facts about administering enoxaparin lovenox. Therefore, lovenox helps reduce clots from forming in the blood. Undergoing hipreplacement surgery, during and following hospitalization. Specific injections instructions are given on the next page.
Page 3 of 4 preventing blood clots with enoxaparin lovenox maternal and infant care clinic box 356159 1959 n. Read the patient information leaflet if available from your pharmacist before you start using enoxaparin and each time you get a refill. The usual duration of administration is 7 to 10 days. Highalert medicines have been proven to be safe and effective. Enoxaparin brand name is lovenox, a lowmolecularweight heparin, is an anticoagulant. Sn instructed patient caregiver on proper administration of lovenox and provided handout.
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