I have a resident with a hx of dvts which has bleeding in his catheter. We're talking about frank cherry red blood. I've notified doc only to be told to give it anyway. Does lovenox cause hematuria? Can anyone give me places where I can read up about lovenox online?

I'm sure if you google it, something will come up.

I would get the advice of the facility pharmacist. Good luck.

make sure the cath isnt being yanked.......

Maybe you can check your drug guide ? How is his H/H ?

I don't have anything much to offer except that I would have held it until I spoke with the doctor.

h and h wnl pt wnl and inr wnl. cath wasnt yanked. im stumped. rn sup said its a low dose and doc said same thing

h and h wnl pt wnl and inr wnl. cath wasnt yanked. im stumped. rn sup said its a low dose and doc said same thing

is he on any drug that could be turning the urine this color? i personally dont know of one...but......and just because the staff didnt aggravate the cath doesnt mean the patient didnt....male/female?

Personally, I'd have given it after the discussion with the physician. My rational: Lovenox has a VERY short half life. If it worsens the hematuria, you will see it and know to hold it in the future until the issue is addressed. The lovenox will only work for a short period of time so the risk for the pt. is not significant.

On the other hand, if we were talking about coumadin or heparin, I'd be more aggressive with holding it. Even though heparin too has a short half life.

Thats just me.

I have a resident with a hx of dvts which has bleeding in his catheter. We're talking about frank cherry red blood. I've notified doc only to be told to give it anyway. Does lovenox cause hematuria? Can anyone give me places where I can read up about lovenox online?

I've had many docs tell me, "if they bleed, I can give them blood. But I can't fix their brain/heart/lungs if they get an embolus."

I've had many docs tell me, "if they bleed, I can give them blood. But I can't fix their brain/heart/lungs if they get an embolus."

Wow. :stone

What was the platelet level?

Why does the resident have a catheter? Does he have a history of BPH?

Know that it only takes a small amount of blood (i.e. 1mL) to turn the urine red. That is H&H are WNL means he is not losing a significant amount of blood. The MD has determined that the benefits of this medication outweigh the risks at this point. What I'm wondering is if any urine has been sent to the lab to check for a UTI, or if the resident has any other medical conditions that can cause hematuria, such as kidney stones.

Also, the INR won't be affected by Lovenox. That would be the aPTT.