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Patient Teaching Lovenox (Enoxaparin)
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Patient Teaching for
Lovenox (Enoxaparin)
Step-by-Step Instructions
Background Info
Additional Tips
Injection Time
Remove the needle cap by pulling it straight off the syringe and discard it in a sharps collector.
With non-dominant hand, pinch an inch of the cleansed area to make a fold in the skin. Hold syringe with dominant hand like a pencil or dart. Next, insert the full length of the needle straight down – at a 90˚ angle – into the fold of skin.
Press the plunger with your thumb until the syringe is empty. Then pull the needle straight out and release the skin fold
Remember that pregnant and newly postpartum women are hypercoaguable, and therefore, at increased risk for thrombus formation
Indications For Lovenox:
Prophylaxis or treatment of DVT which may lead to pulmonary embolism:
•In patients undergoing abdominal surgery who are at risk for thromboembolic complications
•In patients undergoing hip-replacement surgery, during and following hospitalization
•In patients undergoing knee-replacement surgery
•In medical patients who are at risk for thromboembolic complications due to severely restricted mobility during acute illness
Additional Indications
Prophylaxis of Ischemic Complications of Unstable Angina and Non-Q-wave Myocardial Infarction
Treatment of acute ST- segment Elevation Myocardial Infarction (STEMI)
- Patient should NOT expel the air bubble (unless the dosage needs to be adjusted)
- Patient should alternate administration sites
- The whole length of the needle should be introduced into a skin fold held between the thumb and forefinger; The skin fold should be held throughout the injection.
- To minimize bruising, do not rub the injection site after completion of the injection.
- The provider will determine the dosage and length of time for therapy
- If refresher is needed, watch the (13 minute) video with your patient and have them demonstrate
Step-by-Step Instructions
Reference
Step-by-Step Instructions
http://www.lovenox.com/hcp_default.aspx
What You Need to Do
Disposal
Point the needle down and away from yourself and others, and then push down on the plunger to activate the safety shield.
Place the used syringe in the sharps collector.
Preparation:
Direct the patient to gather supplies, wash and dry their hands before they begin
Have your patient sit or lie in a comfortable position and choose an area on the right or left side of the abdomen ("love handles"), at least 2 inches away from the belly button or any scars.
Clean the injection site with an alcohol swab and let dry.
- Request/obtain the (single use) "At Home with Lovenox" Kit from Stores (or ask the house supervisor)
- Ask pharmacy for the "practice" Lovenox medication kit
Remind patients to administer at the same time(s) every day!