[cardiacRN2006]

I'm another who was taught that the air bubble goes in AFTER the med. I was taught this was to ensure the entire dose goes into the pt.

[time4meRN]

Originally Posted by pat8585

ok..regarding lovenox injections....where should the air bubble be...
I was told the TOP...but what exactly is that.....top meaning bottom of plunger?
OR
TOP meaning part where the needle is?
No, i am not a nurse yet.

You want the bubble to go in last so the med doesn't leak out so easily

[rnmi2004]

If you look at the manufacturer website:
http://products.sanofi-aventis.us/lo...lovenox.html#2
and scroll down to the illustrations, Figure B shows the syringe angled up, so the bubble would have to go in last.

The Lovenox teaching kit comes with a video. I wonder if they have one lying around work I could watch to be sure. I'd hate to think I'd been injecting and teaching it wrong all this time!

[TRINI_RN]

we were taught that the air bubble goes in last to lock/seal the medication in the tissue.

[onyx77]

Originally Posted by DutchgirlRN

The way I understood it was that the air being injected first creates a small pocket in the SQ tissue which causes the lovenox to be absorbed more quickly, hence not losing it and is distrubuted more evenly. I may be wrong. That's how I remember reading it when I first started giving it. Perhaps it's changed over the years. You know it's hard to teach an old dog new tricks.

I guess that does make sense, it is just different from what I've been taught. It certainly is interesting to see the differing views on this. I looked it up in my drug book and it didn't say either way, just don't expell the air before giving the injection.
Thanks!

[DutchgirlRN]

Originally Posted by rnmi2004

If you look at the manufacturer website:
http://products.sanofi-aventis.us/lo...lovenox.html#2
and scroll down to the illustrations, Figure B shows the syringe angled up, so the bubble would have to go in last.

The Lovenox teaching kit comes with a video. I wonder if they have one lying around work I could watch to be sure. I'd hate to think I'd been injecting and teaching it wrong all this time!

I've given it hundreds of times with the air going in first. It's not difficult at all.

[cardiacRN2006]

http://patienteducation.upmc.com/Pdf...oagulation.pdf

If you are taking Lovenox, do not expel the small air bubble inside the syringe. The bubble helps push the medicine through the syringe.

[xviii-xxv]

i think it really doesnt matter to whether the bubble precedes or follows the drug..from what they taught us here, just do not expel the bubbles just to avoid losing any of the drug dose...ask the physician or i think it depends on the hospital protocol...and dont rub or massage the site.

[cardiacRN2006]

Originally Posted by xviii-xxv

i think it really doesnt matter to whether the bubble precedes or follows the drug..from what they taught us here, just do not expel the bubbles just to avoid losing any of the drug dose...

But, what does injecting the air bubble first have to do with correct dosage?

[xviii-xxv]

i think when u try to expel some of the bubbles out some of the medicine dose (tho some isnt relevant enough) go out with it.. *shrugs*